BRETT ROBERT WIGGINS (NPI# 1649478868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649478868 |
| Entity Type | Individual |
| Full Name | BRETT ROBERT WIGGINS |
| Practice Address |
1517 W Garvey Ave N West Covina CA 91790-2138 |
| Practice Telephone | 6269626061 |
| Practice Fax Number | 6269624471 |
| Mailing Telephone | 6269626061 |
| Mailing Fax Number | 6269624471 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588146450 | Brett Wiggins | Physical Therapy Assistant | 5225 S Loop 289 Ste 210, Lubbock, TX 79424-1319 | 2018-09-06 |
| Street Address |
1517 W GARVEY AVE N |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679683973 | Pacific Clinics | Community/Behavioral Health | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2006-08-30 |
| 1063028405 | Rebecca Ann Beckett | Student in an Organized Health Care Education/Training Program | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2020-09-21 |
| 1417563859 | Robin Alyssa Harney | Student in an Organized Health Care Education/Training Program | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2020-09-21 |
| 1710530522 | Valerie Arribeno | Counselor | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2019-07-20 |
| 1225695398 | Theodore Hardwick | Student in an Organized Health Care Education/Training Program | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2019-05-23 |
| 1447713300 | Gershom Israel Chavez | Case Manager/Care Coordinator | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2019-04-08 |
| 1003372772 | Jamika Jackson | Licensed Psychiatric Technician | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2019-02-18 |
| 1013490705 | Peggy Lee Sanchez | Licensed Psychiatric Technician | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2018-09-10 |
| 1093208753 | Alma Susana Zarate | Case Manager/Care Coordinator | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2018-06-07 |
| 1285132894 | Claud L Flanagan IIi | Case Manager/Care Coordinator | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| 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 |
|---|---|---|---|---|
| 1194324020 | Project Raised | Case Manager/Care Coordinator | 3839 Amanda St, Unit 133, West Covina, CA 91792-2759 | 2020-10-21 |
| 1629604350 | Jasan Perez | Case Manager/Care Coordinator | 1901 W Pacific Ave, West Covina, CA 91790-2090 | 2020-03-13 |
| 1821646217 | Nereida Sanchez | Case Manager/Care Coordinator | 1901 W Pacific Ln, West Covina, CA 91790-2035 | 2019-08-28 |
| 1669020053 | Tania Ivette Ramirez | Case Manager/Care Coordinator | 1901 W Pacific Ave Ste 240, West Covina, CA 91790-2090 | 2019-08-28 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| 1043688237 | Lavon R Robinson | Case Manager/Care Coordinator | 1613 E Verness St, West Covina, CA 91791-1332 | 2015-09-04 |
| 1568866465 | Michael Silva | Case Manager/Care Coordinator | 1919 W Kenoak Dr, West Covina, CA 91790-1145 | 2014-10-21 |
| 1013204429 | Mark Massaro | Case Manager/Care Coordinator | 1248 E Swanee Ln, West Covina, CA 91790-1848 | 2011-07-06 |
| 1164733069 | Maria Hopper | Case Manager/Care Coordinator | 1804 E Vine Ave, West Covina, CA 91791-3213 | 2010-06-24 |
| 1861668832 | Susette C Thompson | Case Manager/Care Coordinator | 1829 Eworkman Ave #1, West Covina, CA 91791 | 2008-04-30 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.