DEREK BROWN (NPI# 1477938561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477938561 |
| Entity Type | Individual |
| Full Name | DEREK BROWN |
| Practice Address |
13921 Yukon Ave Hawthorne CA 90250 |
| Mailing Address |
13921 Yukon Ave Hawthorne CA 90250-8124 |
| Practice Telephone | 5629652087 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518177260 | Derek Brian Brown | Social Worker | 240 E 4th St, Apt. 5d, New York, NY 10009-7404 | 2007-05-23 |
| 1659597524 | Derek Joseph Brown | Medical Genetics, Ph.D. Medical Genetics | 1301 W 12th Ave Ste 301c, Emporia, KS 66801-2589 | 2007-04-18 |
| 1710032479 | Derek John Brown | Dentist | 1133 N Walton Blvd Ste A, Bentonville, AR 72712-4164 | 2007-01-24 |
| 1598827115 | Derek Alden Brown | Chiropractor | 210 N Norwood Dr, Hurst, TX 76053 | 2006-12-14 |
| 1184252785 | Derek Wayne Brown | Student in an Organized Health Care Education/Training Program | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2020-03-30 |
| 1508410200 | Derek L. Brown | Physical Therapy Assistant | 160 Pedro Way, Winchester, KY 40391-8354 | 2019-07-31 |
| 1275185795 | Derek Brown | Pharmacist | 8607 Santa Monica Blvd, West Hollywood, CA 90069-4109 | 2019-07-15 |
| 1740706100 | Derek Len Brown | Counselor | 1731 W Walnut Ave, Visalia, CA 93277-6232 | 2017-08-17 |
| 1447691357 | Derek Brown | Emergency Medicine | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2013-07-09 |
| 1225478548 | Derek Charles Brown | Counselor | 3621 N Kelley Ave, Ste. 100, Oklahoma City, OK 73111-4520 | 2013-07-01 |
| Street Address |
13921 YUKON AVE |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| 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 |
|---|---|---|---|---|
| 1588134001 | Tulisa White | Case Manager/Care Coordinator | 14501 Cerise Ave Apt 12, Hawthorne, CA 90250-8596 | 2018-11-27 |
| 1992283907 | Sunday Renee Mayes | Case Manager/Care Coordinator | 2501 W El Segundo Blvd Ste B, Hawthorne, CA 90250-3317 | 2018-08-01 |
| 1053850321 | Deshellia Jones | Case Manager/Care Coordinator | 14100 Chadron Ave Apt 242, Hawthorne, CA 90250-8270 | 2017-02-19 |
| 1790169068 | Sheila Astorino | Case Manager/Care Coordinator | 281 Pythian Avenue, Hawthorne, NY 10532 | 2015-07-16 |
| 1104223734 | Patricia D. Smith | Case Manager/Care Coordinator | 11436 Hawthorne Blvd., #288, Hawthorne, CA 90250 | 2014-11-25 |
| 1194361568 | Brian Spindler | Case Manager/Care Coordinator | 40 Saw Mill River Rd, Hawthorne, NY 10532-1535 | 2019-11-20 |
| 1861034670 | Athena Helen Mambatha | Case Manager/Care Coordinator | 265 Saw Mill River Rd, Hawthorne, NY 10532-1509 | 2019-10-14 |
| 1326699091 | Raquel Morales | Case Manager/Care Coordinator | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2019-09-24 |
| 1114423753 | Julia Lechocinski | Case Manager/Care Coordinator | 265 Saw Mill River Rd, Hawthorne, NY 10532-1509 | 2018-04-03 |
| 1720511850 | Annetta Lenise Sparks | Case Manager/Care Coordinator | 11616 Hawthorne Blvd, Hawthorne, CA 90250-2366 | 2017-04-05 |
| Find all providers in HAWTHORNE | ||||
Please comment or provide details below to improve the information on DEREK BROWN.
| 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.