JENNIFER SO (NPI# 1336562107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336562107 |
| Entity Type | Individual |
| Full Name | JENNIFER SO |
| Practice Address |
2550 E Foothill Blvd Pasadena CA 91107-3406 |
| Mailing Address |
3166 Gage Ave El Monte CA 91731-3322 |
| Practice Telephone | 6264631021 |
| Practice Fax Number | 6265780948 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093103210 | Jennifer So | Registered Nurse | 904 Village Rd, Pittsburgh, PA 15205-1557 | 2014-12-23 |
| 1891290128 | Jennifer So | Behavior Technician | 12399 Lewis St Ste 202, Garden Grove, CA 92840-4697 | 2018-03-28 |
| 1700149440 | Jennifer Y So | Internal Medicine | 22 S Greene St, Baltimore, MD 21201-1590 | 2012-06-18 |
| 1891950820 | Jennifer Chua So | Psychologist | 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064 | 2008-07-18 |
| Street Address |
2550 E FOOTHILL BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508905316 | Lisa Buchwald Lansing | Social Worker | 2550 E Foothill Blvd, Pasadena, CA 91107-3406 | 2007-02-06 |
| 1154922508 | Johnny A Avila | Case Manager/Care Coordinator | 2550 E Foothill Blvd, Pasadena, CA 91107-3406 | 2020-11-03 |
| 1700495413 | Sarah Espinoza | Student in an Organized Health Care Education/Training Program | 2550 E Foothill Blvd, Pasadena, CA 91107-3406 | 2020-07-28 |
| 1235747189 | Izbieta Rocha | Rehabilitation Counselor | 2550 E Foothill Blvd, Pasadena, CA 91107-3406 | 2020-07-16 |
| 1114535069 | Marcia Pena | Student in an Organized Health Care Education/Training Program | 2550 E Foothill Blvd, Pasadena, CA 91107-3406 | 2020-07-16 |
| 1669090254 | Paola Tapia I | Student in an Organized Health Care Education/Training Program | 2550 E Foothill Blvd, Pasadena, CA 91107-3406 | 2020-07-09 |
| 1760018196 | Adriana Veronica Aceves | Counselor | 2550 E Foothill Blvd, Pasadena, CA 91107-3406 | 2020-03-17 |
| 1447885553 | Raquel Antonio-subias | Case Manager/Care Coordinator | 2550 E Foothill Blvd, Pasadena, CA 91107-3406 | 2020-03-09 |
| 1437784543 | Maria De Jesus De La Cruz | Case Manager/Care Coordinator | 2550 E Foothill Blvd, Pasadena, CA 91107-3406 | 2020-03-09 |
| 1609400811 | Wyonsenia Denise Phillips | Case Manager/Care Coordinator | 2550 E Foothill Blvd, Pasadena, CA 91107-3406 | 2020-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1952842502 | Desiree Alvarado | Case Manager/Care Coordinator | 135 N Bonnie Ave, Pasadena, CA 91106-2103 | 2017-03-15 |
| 1073051835 | Joram Michael Matute | Case Manager/Care Coordinator | 500 S Los Robles Ave, Apt 305, Pasadena, CA 91101-3266 | 2017-02-01 |
| 1942667951 | Daisy Garcia | Case Manager/Care Coordinator | 2550 E Foothill Blvd Fl 1, Pasadena, CA 91107-3406 | 2016-01-21 |
| 1356716880 | Maria Gonzalez | Case Manager/Care Coordinator | 2500 E Foothill Blvd Ste 403, Pasadena, CA 91107-7119 | 2015-12-09 |
| 1316331945 | Theresa Ibarra | Case Manager/Care Coordinator | 2555 E Colorado Blvd Ste 308, Pasadena, CA 91107-6649 | 2015-03-20 |
| 1891196283 | Eric Bruce Rucker | Case Manager/Care Coordinator | 1245 E Walnut St Ste 117, Pasadena, CA 91106-5129 | 2014-09-04 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.