ANGELA THERESA DE PASS (NPI# 1366084857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366084857 |
| Entity Type | Individual |
| Full Name | ANGELA THERESA DE PASS |
| Practice Address |
762 Cypress St San Dimas CA 91773-3505 |
| Practice Telephone | 9095991227 |
| Mailing Telephone | 9095991227 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
762 CYPRESS ST |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194742825 | Divya Krishnamoorthy | Psychiatry & Neurology | 762 Cypress St, San Dimas, CA 91773-3505 | 2006-07-17 |
| 1053911057 | Quashana Barber | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-10-28 |
| 1841898715 | William Castillo | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-10-13 |
| 1881291235 | Jordan Derbis | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-10-07 |
| 1851998215 | Berenice Esquivel | Registered Nurse | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-10-07 |
| 1821605098 | Jennifer Vidal | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-30 |
| 1255948899 | Gloria Rojas | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-28 |
| 1710594361 | Dori Sayad | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-28 |
| 1639786205 | Danielle Prioleau | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-28 |
| 1841806783 | Elizabeth Kabahuma | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
| Find all providers in zip 91773 | ||||
| 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 |
|---|---|---|---|---|
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1497992358 | Ana Elizabeth Beltran | Case Manager/Care Coordinator | 279 E Arrow Hwy, San Dimas, CA 91773-3319 | 2009-01-14 |
| 1124659669 | Claudia Espinosa Padilla | Case Manager/Care Coordinator | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-02-03 |
| 1013566751 | Eelliot Adomey | Case Manager/Care Coordinator | 762 Cypress St, San Dimas, CA 91773-3505 | 2019-09-05 |
| 1851940712 | Veronica Barajas | Case Manager/Care Coordinator | 675 Cliffside Dr, San Dimas, CA 91773-2957 | 2019-09-04 |
| 1447818489 | Herminia Barbosa | Case Manager/Care Coordinator | 675 Cliffside Dr, San Dimas, CA 91773-2957 | 2019-06-04 |
| 1376107110 | Claudia Yvette Garcia | Case Manager/Care Coordinator | 675 Cliffside Dr, San Dimas, CA 91773-2957 | 2019-04-26 |
| 1811459118 | Malik Jamal Avery | Case Manager/Care Coordinator | 762 Cypress St, San Dimas, CA 91773-3505 | 2019-04-04 |
| 1962964403 | Nicole W Johnson | Case Manager/Care Coordinator | 762 Cypress St, San Dimas, CA 91773-3505 | 2019-04-03 |
| 1346702875 | Jasmine Rae Jancan | Case Manager/Care Coordinator | 762 Cypress St, San Dimas, CA 91773-3505 | 2019-04-03 |
| Find all providers in SAN DIMAS | ||||
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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.