JAMIE CASAREZ-PUENTES (NPI# 1477093920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477093920 |
| Entity Type | Individual |
| Full Name | JAMIE CASAREZ-PUENTES |
| Practice Address |
995 Gateway Center Way Ste 300 995 Gateway Centerway Suite 300 San Diego CA 92102-4550 |
| Practice Telephone | 3617776555 |
| Mailing Telephone | 3617776555 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
995 GATEWAY CENTER WAY STE 300 995 GATEWAY CENTERWAY SUITE 300 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92102-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700954559 | Edlinda Malapit | Case Manager/Care Coordinator | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2006-12-01 |
| 1245843390 | Claude Antonio Cintron | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-08-28 |
| 1174149736 | Heidi Anthony | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-06-19 |
| 1548896129 | Brooklyn Haller | Registered Nurse | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-03-16 |
| 1821620733 | Sierra Shalee Weischedel | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-02-08 |
| 1255961926 | Wendy R Sattam | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-22 |
| 1306476155 | Joshua David Vazquez | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-21 |
| 1477183457 | Elijah Torres | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-18 |
| 1730719840 | Joseph Paquette | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-17 |
| 1912546706 | Veronica Maria Young | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2019-12-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766698 | Daniela Tablas | Behavioral Analyst | 303 47th St Spc D-22, San Diego, CA 92102 | 2020-09-30 |
| 1649745712 | Juliet Lao Kurek | Pharmacist | 2121 Imperial Avenue, San Diego, CA 92102 | 2018-10-04 |
| 1851887020 | Monique Joseph | Counselor | 2410 E. Street, San Diego, CA 92102 | 2018-07-10 |
| 1184166316 | Elise Blanton-hubbard | Counselor | 1850 Dale St, San Diego, CA 92102 | 2016-11-04 |
| 1699221416 | Kari Judith Medina | Student in an Organized Health Care Education/Training Program | 1199 34th Street Apt 11, San Diego, CA 92102 | 2016-08-31 |
| 1942674536 | Caitlin Hillary Dablow | Speech-Language Pathologist | 1201 34th Street, San Diego, CA 92102 | 2015-11-19 |
| 1134508179 | Jonathan Waters | Military Health Care Provider | 1233 22nd Street, Unit 8, San Diego, CA 92102 | 2015-05-22 |
| 1871989913 | Abraham Greenberg | Pediatrics | 15 Balfour Street, Jerusalem, ISRAEL 92102 | 2015-04-15 |
| 1023421021 | Elmira Aghdam | Chiropractor | 5030 Bonita Rd Ste#b, Bonita, CA 92102 | 2014-06-06 |
| 1487092540 | Sherry Scott | Marriage & Family Therapist | 995 Gateway Center Drive #300, San Diego, CA 92102 | 2013-06-11 |
| Find all providers in zip 92102 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1487298840 | Garrett Ives | Peer Specialist | 2909 Keats St Apt 7, San Diego, CA 92106-2345 | 2019-10-29 |
| 1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1811434467 | Deborah Sue Lynn | Peer Specialist | 140 W. Arbor Dr., Ucsd Gifford Outpatient Clinic, San Diego, CA 92103-2421 | 2017-01-20 |
| 1023463163 | Miguel Pablo Surposa | Peer Specialist | 5711 Bolivar St, San Diego, CA 92139-1617 | 2016-04-26 |
| 1376140590 | Leon Samuel Mancilla | Peer Specialist | 5555 Reservoir Dr, San Diego, CA 92120-5134 | 2020-10-01 |
| 1982210092 | Nicole Lynn Iwan | Peer Specialist | 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 | 2020-09-23 |
| 1962014001 | Paulina Alvarado | Peer Specialist | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2020-08-19 |
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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.