ELISA ADDISON (NPI# 1649348624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649348624 |
| Entity Type | Individual |
| Full Name | ELISA ADDISON |
| Credential | MFT |
| Practice Address |
2680 S White Rd Ste 200 San Jose CA 95148-2079 |
| Practice Telephone | 4087553905 |
| Mailing Telephone | 4087553905 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2017-10-13 |
| 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 | SANTA CLARA COUNTY ID# | 41677 | 01 |
| Street Address |
2680 S WHITE RD STE 200 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95148-2079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083786230 | Golden Hills Orthopedic and Sports Physical Therapy Inc. | Physical Therapist | 2680 S White Rd Ste 200, San Jose, CA 95148-2079 | 2006-11-14 |
| 1104441674 | Vidhi Patel | Physical Therapist | 2680 S White Rd Ste 200, San Jose, CA 95148-2079 | 2020-06-10 |
| 1417577446 | Chao-jung Hsu | Physical Therapist | 2680 S White Rd Ste 200, San Jose, CA 95148-2079 | 2020-04-20 |
| 1578103370 | Kuan Chen Tseng | Physical Therapist | 2680 S White Rd Ste 200, San Jose, CA 95148-2079 | 2020-01-09 |
| 1508411794 | Arpana Thakar | Physical Therapy Assistant | 2680 S White Rd Ste 200, San Jose, CA 95148-2079 | 2019-08-05 |
| 1245794965 | Laetitia Le Roux | Physical Therapist | 2680 S White Rd Ste 200, San Jose, CA 95148-2079 | 2019-01-27 |
| 1518440304 | Roselle Dizon Kelley | Physical Therapist | 2680 S White Rd Ste 200, San Jose, CA 95148-2079 | 2018-09-08 |
| 1811414220 | Priscilla Joy Sabangan Luna | Physical Therapist | 2680 S White Rd Ste 200, San Jose, CA 95148 | 2017-08-25 |
| 1467885160 | Daniel Antonio Alvarez | Physical Therapist | 2680 S White Rd Ste 200, San Jose, CA 95148-2079 | 2013-08-16 |
| 1982047296 | Jamil Juan | Physical Therapist | 2680 S White Rd Ste 200, San Jose, CA 95148-2079 | 2013-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415540 | World Trekker LLC | Home Health | 2756 White Acres Drive, San Jose, CA 95148 | 2020-07-29 |
| 1962932749 | Mychau Nhu Nguyen | Acupuncturist | 2710 Gumdrop Drive, San Jose, CA 95148 | 2017-06-14 |
| 1457705808 | Dzuy V Bi | Optometrist | 2670 S White Rd Ste 200, San Jose, CA 95148 | 2016-04-21 |
| 1235489626 | Emerlyn Sangha | Dental Hygienist | 1878 Oakton Court, San Jose, CA 95148 | 2012-09-13 |
| 1073863502 | Uyen-ly Hoang Nguyen | Counselor | 2792 White Acres Dr, San Jose, CA 95148 | 2012-09-12 |
| 1780955880 | Tiffany Thy Nguyen | Pharmacist | 3121 Norwood Avenue, San Jose, CA 95148 | 2012-01-20 |
| 1215204722 | Stacey Nguyen | Pharmacist | 2799 S. White Road, San Jose, CA 95148 | 2011-11-28 |
| 1760670798 | Jamie Victoria Santiago | Chiropractor | 8010 Wayland Ln. Ste 1b, Gilroy, CA 95148 | 2007-10-03 |
| 1003021494 | Rosemary Evans | Dentist | 2680 S White Road, Suite 100, San Jose, CA 95148 | 2007-05-11 |
| 1942334073 | Evelyn Gaviola | Physical Therapist | 2670 S White Rd Ste 120, San Jose, CA 95148 | 2007-03-14 |
| Find all providers in zip 95148 | ||||
| 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 |
|---|---|---|---|---|
| 1619592292 | Feng Zheng | Case Manager/Care Coordinator | 298a Bernal Road, San Jose, CA 95119-1809 | 2020-06-10 |
| 1881234375 | Harpreet Kaur | Case Manager/Care Coordinator | 1691 Bagpipe Way, San Jose, CA 95121-1506 | 2020-01-13 |
| 1790321214 | Jesse Schulte | Case Manager/Care Coordinator | 2 N Market St, San Jose, CA 95113-1211 | 2019-11-19 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1154964252 | Darra Lea Velasco | Case Manager/Care Coordinator | 171 N Capitol Ave Apt 4, San Jose, CA 95127-2333 | 2019-10-21 |
| 1851948038 | Xinia Maria Muniz | Case Manager/Care Coordinator | 5066 New Trier Ave, San Jose, CA 95136-2720 | 2019-08-22 |
| 1790246577 | Gary Anduin Garrick | Case Manager/Care Coordinator | 1356 Ridder Park Dr, San Jose, CA 95131-2313 | 2019-03-26 |
| 1972076347 | William Ray Brice | Case Manager/Care Coordinator | 834 Opal Dr Apt 2, San Jose, CA 95117-2662 | 2019-01-08 |
| 1285103697 | Connie Bustillo | Case Manager/Care Coordinator | 1356 Ridder Park Drive, San Jose, CA 95131 | 2018-11-14 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
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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.