MARLYN MURCIA (NPI# 1609419019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609419019 |
| Entity Type | Individual |
| Full Name | MARLYN MURCIA |
| Practice Address |
6333 Telegraph Ave Oakland CA 94609-1359 |
| Practice Telephone | 5109231099 |
| Practice Fax Number | 5109230894 |
| Mailing Telephone | 5109231099 |
| Mailing Fax Number | 5109230894 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 000000111 | 01 |
| Street Address |
6333 TELEGRAPH AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841278991 | Charline Bayon Simmons | Psychiatry & Neurology | 6333 Telegraph Ave, 200, Oakland, CA 94609-1359 | 2006-01-07 |
| 1376143040 | Lisette Carrillo | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-10-30 |
| 1497366694 | Debbie Terry Cruz | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-08-11 |
| 1699314740 | Kimbra J Baker | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-01-06 |
| 1265075667 | Adebisi Adewale | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-10-18 |
| 1093356826 | Shaeonna Shamara Muhammad | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-10-02 |
| 1053962779 | Selene Singh | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-09-24 |
| 1629626148 | Monte Hardy | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-08-28 |
| 1497303937 | Keatonia Isa Hall | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-08-28 |
| 1396203253 | Don Ellis Phillips Sr. | Nurse Practitioner | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| 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 |
|---|---|---|---|---|
| 1710596044 | Michael Holloway | Case Manager/Care Coordinator | 400 Broadway Fl 3, Oakland, CA 94607-3807 | 2020-07-22 |
| 1073130746 | Anaszsa Thompson | Case Manager/Care Coordinator | 1111 Jackson St, Oakland, CA 94607-4807 | 2020-06-29 |
| 1992321715 | Lorena Gomez-melano | Case Manager/Care Coordinator | 400 Broadway Rm 317, Oakland, CA 94607-3807 | 2020-06-17 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1972127546 | Dystany Leann Kuykendall | Case Manager/Care Coordinator | 1700 Broadway Fl 5 and 9, Oakland, CA 94612-2141 | 2020-05-29 |
| 1497310098 | Marisol Rodriguez-sanchez | Case Manager/Care Coordinator | 6221 E 17th St, Oakland, CA 94621-4107 | 2019-05-08 |
| 1780140723 | Bessie Yazmin Tejada | Case Manager/Care Coordinator | 1904 Franklin St Ste 418, Oakland, CA 94612-2927 | 2019-02-14 |
| 1366923369 | Rhummanee Hang | Case Manager/Care Coordinator | 544 International Blvd., Suite #9, Oakland, CA 94606 | 2018-08-27 |
| 1710479746 | Candace Yolanda Kirven-prayer | Case Manager/Care Coordinator | 150 Frank H Ogawa Plz Ste 4340, Oakland, CA 94612-2092 | 2018-06-05 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
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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.