FEDILYNN RADOVAN BASOBAS-CACAO (NPI# 1639795677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639795677 |
| Entity Type | Individual |
| Full Name | FEDILYNN RADOVAN BASOBAS-CACAO |
| Practice Address |
24085 Amador St Fl 4 Hayward CA 94544-1226 |
| Practice Telephone | 5106708479 |
| Mailing Telephone | 5106708479 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| 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 |
24085 AMADOR ST FL 4 |
| City | HAYWARD |
| State | CA |
| Zip Code | 94544-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902280 | Andy Tran | Case Manager/Care Coordinator | 24085 Amador St Fl 4, Hayward, CA 94544-1226 | 2020-11-03 |
| 1720606858 | Cristina Hernandez | Case Manager/Care Coordinator | 24085 Amador St Fl 4, Hayward, CA 94544-1226 | 2020-07-06 |
| 1720605405 | John Phillip Nieves Torres | Case Manager/Care Coordinator | 24085 Amador St Fl 4, Hayward, CA 94544-1226 | 2020-06-29 |
| 1023634052 | Twylla R. Terry-holloway | Case Manager/Care Coordinator | 24085 Amador St Fl 4, Hayward, CA 94544-1226 | 2020-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659845147 | Yves Richard Preval | Respiratory Therapist, Registered | 29843 Baltic Ct, Hayward, CA 94544 | 2019-01-17 |
| 1578044764 | Dionisia Maria Inocencio | Psychologist | 24823 Soto Rd, Hayward, CA 94544 | 2018-08-24 |
| 1235642307 | Ana Cecilia Contreras | Counselor | 550 Berry Ave, 1, Hayward, CA 94544 | 2017-11-13 |
| 1528580990 | Mind Fitness Center | Counselor | 225 West. Winton Ave, Suite 202d, Hayward, CA 94544 | 2017-07-07 |
| 1831628262 | Edith Mcneal | Counselor | 31518 Medinah St., Hayward, CA 94544 | 2017-06-08 |
| 1629456520 | Kevin Porciuncula | Family Medicine | 1251 W Tennyson Rd Ste 4, Hayward, CA 94544 | 2015-05-12 |
| 1104226273 | Mohamed Conteh | Social Worker | 555 Sycamore Avenue #4, Hayward, CA 94544 | 2014-08-26 |
| 1386993558 | Jose Angel Gonzalez Jr. | Counselor | 107 Jackson St., Hayward, CA 94544 | 2012-09-04 |
| 1003171828 | Alameda County Public Health Nursing | Public Health or Welfare | 24085 Amador, Hayward, CA 94544 | 2012-07-09 |
| 1114208907 | Building Opportunities for Self Sufficiency | Community/Behavioral Health | 730 #8 Bartlett Ave, Hayward, CA 94544 | 2011-09-07 |
| Find all providers in zip 94544 | ||||
| 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 |
|---|---|---|---|---|
| 1447877881 | Linda N Bui | Case Manager/Care Coordinator | 24085 Amador St Ste 310, Hayward, CA 94544-1222 | 2020-07-01 |
| 1922625615 | Vannesa Imperial | Case Manager/Care Coordinator | 24085 Amador St Ste 400, Hayward, CA 94544-1226 | 2020-06-29 |
| 1841768488 | Ayesha Zahoor | Case Manager/Care Coordinator | 24371 Anna St, Hayward, CA 94545-2049 | 2018-11-12 |
| 1124258561 | Shirley Jean Walker | Case Manager/Care Coordinator | 21757 Meekland Ave, Hayward, CA 94541-3854 | 2009-07-20 |
| 1952902280 | Andy Tran | Case Manager/Care Coordinator | 24085 Amador St Fl 4, Hayward, CA 94544-1226 | 2020-11-03 |
| 1396343240 | Danella Ruth Mckinnon | Case Manager/Care Coordinator | 22211 Foothill Blvd, Hayward, CA 94541-2712 | 2020-10-13 |
| 1740887165 | Daisy Jacqueline Orozco | Case Manager/Care Coordinator | 22211 Foothill Blvd, Hayward, CA 94541-2712 | 2020-10-08 |
| 1033722343 | Clifford Chin | Case Manager/Care Coordinator | 24085 Amador St, Hayward, CA 94544-1222 | 2020-08-26 |
| 1477166171 | Vycelka Gatto | Case Manager/Care Coordinator | 24085 Amador St, Hayward, CA 94544-1222 | 2020-08-24 |
| 1770194706 | Nichol Norton | Case Manager/Care Coordinator | 24085 Amador Street, Suite 400, Hayward, CA 94544-1299 | 2020-08-13 |
| Find all providers in HAYWARD | ||||
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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.