SAMANTHA A GRAY (NPI# 1669853180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669853180 |
| Entity Type | Individual |
| Full Name | SAMANTHA A GRAY |
| Practice Address |
3125 Myers St Riverside CA 92503-5527 |
| Practice Telephone | 9513584840 |
| Mailing Telephone | 9513584840 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376059642 | Samantha Denise Gray | Behavior Technician | 3856 W Anthony Rd, Ocala, FL 34475 | 2017-12-21 |
| 1255791141 | Samantha Gray | Nurse Practitioner | 128 Hedgelawn Dr, Hendersonville, TN 37075-4550 | 2016-03-04 |
| 1740605872 | Samantha Gray | Occupational Therapist | 46 Flipper Ave, Manahawkin, NJ 08050-1829 | 2014-02-26 |
| 1215534581 | Samantha Gray | Counselor | 1709 Bragaw St, Anchorage, AK 99508-3436 | 2020-10-08 |
| 1851900880 | Samantha Joann Gray | Behavior Technician | 1140 Kyle Wood Ln, Brandon, FL 33511-4850 | 2020-07-27 |
| 1699397224 | Samantha Gray | Counselor | 4511 Harlem Rd, Snyder, NY 14226-3803 | 2020-05-18 |
| 1699261784 | Samantha Gray | Social Worker | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2018-07-02 |
| 1992235634 | Samantha Marie Gray | Dentist | 3503 Youree Dr, Shreveport, LA 71105-2119 | 2017-06-15 |
| 1518497528 | Samantha Paige Gray | Physician Assistant | 1965 S Fremont Ave Ste 230, Springfield, MO 65804-2258 | 2017-06-13 |
| 1124370010 | Samantha M Gray | Nurse Practitioner | 2600 Glasgow Ave, Suite 124, Newark, DE 19702-4773 | 2012-10-03 |
| Street Address |
3125 MYERS ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407968068 | Richard Joonkoo Lee | Psychiatry & Neurology | 3125 Myers St, Rcdmh Children's Treatment Services, Riverside, CA 92503-5527 | 2006-08-31 |
| 1821616616 | Mayra Mariscal | Case Manager/Care Coordinator | 3125 Myers St, Riverside, CA 92503-5527 | 2020-07-08 |
| 1003434986 | Marco Antonio Elias-juarez | Marriage & Family Therapist | 3125 Myers St, Riverside, CA 92503-5527 | 2020-07-08 |
| 1831723980 | Kimberly N/a Franco | Marriage & Family Therapist | 3125 Myers St, Riverside, CA 92503-5527 | 2020-02-27 |
| 1609419860 | Melissa Aimee Benson | Marriage & Family Therapist | 3125 Myers St, Riverside, CA 92503-5527 | 2019-10-21 |
| 1023678810 | Aaron A Alonso | Case Manager/Care Coordinator | 3125 Myers St, Riverside, CA 92503-5527 | 2019-06-14 |
| 1730746371 | Cassandra Rodriquez | Counselor | 3125 Myers St, Riverside, CA 92503 | 2019-05-20 |
| 1548745763 | Eddy Anne Garcia | Peer Specialist | 3125 Myers St, Riverside, CA 92503-5527 | 2018-10-03 |
| 1417439910 | Brodi Thomas Petitt | Peer Specialist | 3125 Myers St, Riverside, CA 92503-5527 | 2018-08-30 |
| 1053891101 | Adriyel Angel Carrillo | Counselor | 3125 Myers St, Riverside, CA 92503-5527 | 2018-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| 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 |
|---|---|---|---|---|
| 1760005151 | Elvira Martinez Herrera | Case Manager/Care Coordinator | 19376 Lambeth Ct, Riverside, CA 92508-6217 | 2020-05-20 |
| 1831720366 | Kimberly Ann Marshall | Case Manager/Care Coordinator | 18251 Northstar Ave, Riverside, CA 92508-9686 | 2020-02-03 |
| 1124659057 | Anthony Avalos | Case Manager/Care Coordinator | 555 Technology Ct Ste 105, Riverside, CA 92507-2155 | 2020-01-29 |
| 1306486451 | Sharice Fox | Case Manager/Care Coordinator | 5711 Magnolia Ave, Riverside, CA 92506-1824 | 2020-01-07 |
| 1588208318 | Fabiola Palacios | Case Manager/Care Coordinator | 7894 Mission Grove Pkwy S, Riverside, CA 92508-7800 | 2019-11-05 |
| 1962065185 | Andrea Brito-barriga | Case Manager/Care Coordinator | 525 Technology Ct Ste 300, Riverside, CA 92507-2191 | 2019-04-15 |
| 1427540392 | Anita Pauline Hendricks | Case Manager/Care Coordinator | 1020 Iowa Ave Ste A, Riverside, CA 92507-2105 | 2018-06-05 |
| 1326530270 | Ruben Correa | Case Manager/Care Coordinator | 9889 County Farm Rd, Riverside, CA 92503-3504 | 2018-06-05 |
| 1386136323 | Jessica Ramos | Case Manager/Care Coordinator | 1201 Research Park Dr Ste 100, Riverside, CA 92507-2147 | 2018-06-05 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| Find all providers in RIVERSIDE | ||||
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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.