MS. ELISA SEVERIANO BACILIO (NPI# 1588279145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588279145 |
| Entity Type | Individual |
| Full Name | MS. ELISA SEVERIANO BACILIO |
| Practice Address |
6862 Harmon Dr Ventura CA 93003-7146 |
| Practice Telephone | 8057663217 |
| Mailing Telephone | 8057663217 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| 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 |
6862 HARMON DR |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-7146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| 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 |
|---|---|---|---|---|
| 1013438647 | Mark A Ross | Case Manager/Care Coordinator | 4528 Telegraph Rd, Ventura, CA 93003 | 2017-07-05 |
| 1003157496 | Emilio Alejandro Cortez I | Case Manager/Care Coordinator | 5740 Ralston St Ste 200, Ventura, CA 93003-6009 | 2013-03-08 |
| 1497003560 | Emmarose Miclat Ambrosio | Case Manager/Care Coordinator | 2323 Knoll Dr, Ventura, CA 93003-7307 | 2012-08-21 |
| 1861671570 | Seleta Dobrosky | Case Manager/Care Coordinator | 2125 Knoll Drive, Suite 200, Ventura, CA 93003-7329 | 2007-10-30 |
| 1235328543 | Brenda J Gray | Case Manager/Care Coordinator | 2125 Knoll Dr Ste 200, Ventura, CA 93003-7329 | 2007-10-23 |
| 1891982567 | Manuela Escandia Angel | Case Manager/Care Coordinator | 265 E Mcfarlane St, Ventura, CA 93001-1558 | 2007-09-26 |
| 1942410147 | Dianne Elizabeth Nicholas | Case Manager/Care Coordinator | 970 Petit Ave Ste C, Ventura, CA 93004-2215 | 2007-05-23 |
| 1740887512 | Dinah Galaviz Cota | Case Manager/Care Coordinator | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2020-10-05 |
| 1467943605 | Maria Ramirez | Case Manager/Care Coordinator | 5740 Ralston St, Ventura, CA 93003-6051 | 2018-05-23 |
| 1679009948 | Eric Calderon Arroyo | Case Manager/Care Coordinator | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2017-05-05 |
| Find all providers in VENTURA | ||||
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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.