JESSICA CARRILLO (NPI# 1447407101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447407101 |
| Entity Type | Individual |
| Full Name | JESSICA CARRILLO |
| Practice Address |
2114 Artesia Blvd Redondo Beach CA 90278-3014 |
| Mailing Address |
23430 Hawthorne Blvd Bldg 3, Suite 210 Torrance CA 90505-4720 |
| Practice Telephone | 3108026177 |
| Practice Fax Number | 3108026178 |
| Mailing Telephone | 3108026177 |
| Mailing Fax Number | 3108026178 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358440 | Jessica Carrillo | Technician | 6580 Coffeeville Creek Dr, Las Vegas, NV 89122-3504 | 2020-02-14 |
| 1255653655 | Jessica Carrillo | Dentist | 100 Sterling Oaks Dr Apt 230, Chico, CA 95928-9460 | 2010-02-25 |
| 1730710997 | Jessica Carrillo | Behavior Technician | 25115 Avenue Stanford Ste A100, Valencia, CA 91355-1290 | 2020-01-27 |
| 1598224487 | Jessica Cecilia Carrillo | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz # Bcm320, Houston, TX 77030-3411 | 2019-03-19 |
| 1760962310 | Jessica Carrillo | Behavior Technician | 11820 Cypress Corner Ln, Houston, TX 77065-1132 | 2018-08-14 |
| 1942753835 | Jessica Carrillo | Counselor | 7245 E Southgate Dr, Sacramento, CA 95823-2620 | 2016-07-27 |
| 1386015667 | Jessica Carrillo | Pharmacist | 928 Gold Hill Rd, Fort Mill, SC 29708-7947 | 2015-10-13 |
| Street Address |
2114 ARTESIA BLVD |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90278-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366581290 | Michael Chien Yu | Family Medicine | 2114 Artesia Blvd, Redondo Beach, CA 90278-3014 | 2007-02-06 |
| 1083962005 | South Bay Family Healthcare Center | Clinic/Center | 2114 Artesia Blvd, Redondo Beach, CA 90278-3014 | 2012-08-23 |
| 1194049114 | Camela Joan Ott | Internal Medicine | 2114 Artesia Blvd, Redondo Beach, CA 90278-3014 | 2010-03-19 |
| 1639326390 | Valerie Suarez | Case Manager/Care Coordinator | 2114 Artesia Blvd, Redondo Beach, CA 90278-3014 | 2008-08-25 |
| 1457567612 | Azita Shahriarpour | Dentist | 2114 Artesia Blvd, Redondo Beach, CA 90278-3014 | 2007-05-15 |
| 1548301229 | South Bay Family Healthcare Center | Clinic/Center | 2114 Artesia Blvd, Redondo Beach, CA 90278-3014 | 2007-02-08 |
| 1619017704 | Nicole Gentry | Physician Assistant | 2114 Artesia Blvd, Redondo Beach, CA 90278-3014 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354233 | Bobby Kou | Occupational Therapist | 2012 Mathews Ave #b, Redondo Beach, CA 90278 | 2020-04-01 |
| 1053827329 | Bright Day Therapy Center Inc | Occupational Therapist | 2602 Nelson Ave, Redondo Beach, CA 90278 | 2017-12-21 |
| 1902147978 | Nancy A Livingston | Nurse Practitioner | 100 Medical Plaza Suite 630 East, Los Angeles, CA 90278 | 2013-03-15 |
| 1437460599 | Su Jin Feuer | Social Worker | 2113 Vanderbilt Ln Unit C, Redondo Beach, CA 90278 | 2010-06-23 |
| 1477711372 | Sormeh Rastegar Panah | Dentist | 2731 Manhattan Beach Blvd, Redondo Beach, CA 90278 | 2008-05-28 |
| 1124244348 | James A Nguyen Dds A Dental Corp | Dentist | 1738 Aviation Blvd., Redondo Beach, CA 90278 | 2007-04-17 |
| 1730233628 | Kenneth D Ochi | Dentist | 1444 Aviation Blvd, Suite # 201, Redondo Beach, CA 90278 | 2007-01-22 |
| 1609935675 | Allen Joseph Selner | Podiatrist | 2850 Artesia Boulevard, Suite 204, Redondo Beach, CA 90278 | 2006-12-06 |
| 1184794430 | Reza Khaghani | General Practice | 1959 Kingsdale Avenue, Rodondo Beach, CA 90278 | 2006-11-08 |
| 1932291473 | Mathew James Deville | Chiropractor | 1981 Artesia Blvd, Redondo Beach, CA 90278 | 2006-09-29 |
| Find all providers in zip 90278 | ||||
| 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 |
|---|---|---|---|---|
| 1952637860 | Sandra Davis Lawrence | Case Manager/Care Coordinator | 501 Esplanade, #138, Redondo Beach, CA 90277-4012 | 2009-10-27 |
| 1619258001 | Marjorie Cortez | Case Manager/Care Coordinator | 410 Camino Real, Redondo Beach, CA 90277-3815 | 2011-08-30 |
| 1639326390 | Valerie Suarez | Case Manager/Care Coordinator | 2114 Artesia Blvd, Redondo Beach, CA 90278-3014 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275935 | Grecia Leticia Garcia | Case Manager/Care Coordinator | 1830 Rodgers Rd Apt F, Hanford, CA 93230-1930 | 2020-11-03 |
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1417557653 | Jeannine Arnetta Nash | Case Manager/Care Coordinator | 7614 Lemon Ave Ste C, Lemon Grove, CA 91945-1619 | 2020-10-27 |
| 1932709359 | Vue Moua | Case Manager/Care Coordinator | 4812 Conzelman Way, Elk Grove, CA 95757-2508 | 2020-10-26 |
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1194324020 | Project Raised | Case Manager/Care Coordinator | 3839 Amanda St, Unit 133, West Covina, CA 91792-2759 | 2020-10-21 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1750989240 | David John Schmidt-cook | Case Manager/Care Coordinator | 5580 Foothill Rd, Rocklin, CA 95677-3316 | 2020-10-15 |
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1841897675 | Madeline Hannah Starkenburg | Case Manager/Care Coordinator | 11559 Claridge Dr, Rch Cucamonga, CA 91730-7246 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | REDONDO BEACH |
| Zip Code | 90278 |
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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.