MR. CHRONDARIUS TATUM (NPI# 1538617345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538617345 |
Entity Type | Individual |
Full Name | MR. CHRONDARIUS TATUM |
Practice Address |
1660 Kendall Dr Apt 87 San Bernardino CA 92407-2859 |
Practice Telephone | 9097719712 |
Mailing Telephone | 9097719712 |
Enumeration Date | 2016-09-21 |
Last Update Date | 2016-09-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | 171M0000X | CA | Other Service Providers |
Street Address |
1660 KENDALL DR APT 87 |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92407-2859 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639789233 | Luis Enrique Macias | Case Manager/Care Coordinator | 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 | 2020-08-07 |
1619526209 | Louise E Curran | Social Worker | 6395 N Azalea Ave, San Bernardino, CA 92407 | 2019-09-06 |
1619496049 | Portia Monique Jackson | Licensed Vocational Nurse | 1022 Sunbrook Dr., San Bernardino, CA 92407 | 2017-09-18 |
1568988467 | Jon Michael Hensley | Behavior Technician | 1638 Windsor Street, San Bernardino, CA 92407 | 2017-08-22 |
1063933349 | Priority Rounds Transport, L.l.c | Non-emergency Medical Transport (VAN) | 18245 Evening Primrose Ln, San Bernardino, CA 92407 | 2017-06-27 |
1760927263 | Denkorach Inc | In Home Supportive Care | 1265 Kendall Drive, Unit 1614, San Bernardino, CA 92407 | 2016-12-20 |
1558606517 | Pradeep Amin | Pharmacist | 4150 N Sierra Way, San Bernardino, CA 92407 | 2012-12-03 |
1811231384 | Lucindy Thomasina Fuller | Rehabilitation Practitioner | 1265 Kendall Dr, San Bernardino, CA 92407 | 2012-11-21 |
1578793337 | Shareela Marie Allen | Social Worker | 6791 N. Ofeila Drive, San Bernardino, CA 92407 | 2009-07-15 |
1720239304 | Alejandro Paul Holguin | Social Worker | 6076 Norma Ln, San Bernardino, CA 92407 | 2008-10-01 |
Find all providers in zip 92407 |
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 |
---|---|---|---|---|
1154935492 | Julian Ellison | Case Manager/Care Coordinator | 303 E Vandebilt Way, San Bernardino, CA 92415-0001 | 2020-09-03 |
1639789233 | Luis Enrique Macias | Case Manager/Care Coordinator | 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 | 2020-08-07 |
1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
1528523065 | Leslie Gonzalez | Case Manager/Care Coordinator | 1982 W 18th St, San Bernardino, CA 92411-1059 | 2019-02-08 |
1326520057 | Cynthia Gutierrez | Case Manager/Care Coordinator | 237 E. Mill St., San Bernardino, CA 92408 | 2018-08-29 |
1457831398 | Omar Torres | Case Manager/Care Coordinator | 574 N Arrowhead Ave., San Bernardino, CA 92401 | 2018-08-20 |
1558841197 | Yvette Hinton | Case Manager/Care Coordinator | 431 Mackay Drive, San Bernardino, CA 92408 | 2018-08-14 |
1326557026 | Ruben Grajeda | Case Manager/Care Coordinator | 3561 N F St, San Bernardino, CA 92405-2120 | 2017-09-25 |
1225553472 | Nicole Dela Cruz | Case Manager/Care Coordinator | 720 E Gilbert Street, San Bernardino, CA 92415-0001 | 2017-08-09 |
1104354539 | Llesenia Aleman | Case Manager/Care Coordinator | 597 North Arrowhead Ave, San Bernardino, CA 92401 | 2017-05-30 |
Find all providers in SAN BERNARDINO |
City | SAN BERNARDINO |
Zip Code | 92407 |
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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.