MR. BURDETT LEON STILLS IV (NPI# 1619313632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619313632 |
| Entity Type | Individual |
| Full Name | MR. BURDETT LEON STILLS IV |
| Practice Address |
1303 W Walnut Pkwy Compton CA 90220-5030 |
| Practice Telephone | 3108685379 |
| Practice Fax Number | 3108685397 |
| Mailing Telephone | 3108685379 |
| Mailing Fax Number | 3108686597 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1303 W WALNUT PKWY |
| City | COMPTON |
| State | CA |
| Zip Code | 90220-5030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487766523 | Margarita Esther Marquez | Social Worker | 1303 W Walnut Pkwy, Compton, CA 90220-5030 | 2006-08-31 |
| 1346611597 | Ronneika Latonya Merrill | Case Manager/Care Coordinator | 1303 W Walnut Pkwy, Compton, CA 90220-5030 | 2015-10-14 |
| 1194064170 | Sandra Veronica Brizuela | Marriage & Family Therapist | 1303 W Walnut Pkwy, Compton, CA 90220-5030 | 2013-02-11 |
| 1831446830 | Lawanda L Brown | Case Manager/Care Coordinator | 1303 W Walnut Pkwy, Compton, CA 90220-5030 | 2012-08-08 |
| 1629330147 | Kamili Denise Austin | Case Manager/Care Coordinator | 1303 W Walnut Pkwy, Compton, CA 90220-5030 | 2012-06-11 |
| 1881953685 | Daysi Mejia | Marriage & Family Therapist | 1303 W Walnut Pkwy, Compton, CA 90220-5030 | 2012-05-14 |
| 1972862886 | Tanesha Stewart | Case Manager/Care Coordinator | 1303 W Walnut Pkwy, Compton, CA 90220-5030 | 2012-05-11 |
| 1437417425 | Derek R Lewis | Case Manager/Care Coordinator | 1303 W Walnut Pkwy, Compton, CA 90220-5030 | 2012-04-26 |
| 1528332111 | Alexandra S Hattick | Social Worker | 1303 W Walnut Pkwy, Compton, CA 90220-5030 | 2012-02-29 |
| 1528340817 | Karina Hernandez | Social Worker | 1303 W Walnut Pkwy, Compton, CA 90220-5030 | 2011-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710490925 | Vivian Carolina Cariat | Interpreter | 2499 S. Wilmington Ave., Compton, CA 90220 | 2017-11-09 |
| 1366971632 | Bradlisia Dixon | Marriage & Family Therapist | 15116 S. Gibson Ave., East Rancho Dominguez, CA 90220 | 2017-06-08 |
| 1154701373 | Hilario Enrique Ramirez | Counselor | 901 W Victoria St Ste Fng, Compton, CA 90220 | 2015-06-03 |
| 1366841306 | Jessica Lisbet Diaz | Counselor | 901 W Victoria St. Suite F & G, Compton, CA 90220 | 2014-08-15 |
| 1134466709 | Compassion Care Center | Clinic/Center | 601 S. Arcacia Ave., Compton, CA 90220 | 2013-01-15 |
| 1881931905 | Compassion Care Center, Inc. | Clinic/Center | 900 W. Grenleaf Ave., Compton, CA 90220 | 2013-01-09 |
| 1699033902 | Crittenton Children Andfamily Services | Community/Behavioral Health | 2939 East Pacific Commerce Drive, Rancho Dominguez, CA 90220 | 2012-04-25 |
| 1285909226 | Talatu Peters Oyefeso | Physician Assistant | 701 S. Sante Fe Ave. #5194, Compton, CA 90220 | 2012-03-08 |
| 1881966307 | Nancy Urena | Counselor | 901 W. Victoria St Suite F & G, Compton, CA 90220 | 2012-01-30 |
| 1831470756 | Vanessa Guadalupe Sanchez | Case Manager/Care Coordinator | 1303 West Walnut Park Way, Compton, CA 90220 | 2011-09-06 |
| Find all providers in zip 90220 | ||||
| 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 |
|---|---|---|---|---|
| 1760933683 | Marysol Figueroa | Case Manager/Care Coordinator | 1937 E El Segundo Blvd Apt 10, Compton, CA 90222-2145 | 2016-10-14 |
| 1578942389 | Margarita Jaime | Case Manager/Care Coordinator | 2235 E Piru St, Compton, CA 90222-2910 | 2015-05-26 |
| 1508286105 | Carl Wayne Henderson | Case Manager/Care Coordinator | 1303 W. Parkway, Compton, CA 90220-5030 | 2014-04-22 |
| 1831470756 | Vanessa Guadalupe Sanchez | Case Manager/Care Coordinator | 1303 West Walnut Park Way, Compton, CA 90220 | 2011-09-06 |
| 1972735744 | Nesreen Samy Michael | Case Manager/Care Coordinator | 200 W Compton Blvd Ste 300, Compton, CA 90220-3136 | 2009-08-12 |
| 1417114851 | Robert Ernest Jones | Case Manager/Care Coordinator | 921 E Compton Blvd., Compton, CA 90221 | 2008-05-22 |
| 1922291673 | Raye Evelyn Williams | Case Manager/Care Coordinator | 1303 Walnut Parkway, Compton, CA 90220-5804 | 2007-08-24 |
| 1356437495 | Luis Garcia | Case Manager/Care Coordinator | 2010 E El Segundo Blvd, Compton, CA 90222-7109 | 2006-10-05 |
| 1790317444 | Devon Howard | Case Manager/Care Coordinator | 600 N Alameda St, Compton, CA 90221-2605 | 2020-02-11 |
| 1841837721 | Mauricio Emanuel Lopez | Case Manager/Care Coordinator | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2019-12-10 |
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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.