ALEXIS D MEDINA (NPI# 1700440039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700440039 |
| Entity Type | Individual |
| Full Name | ALEXIS D MEDINA |
| Practice Address |
3875 S Western Ave Los Angeles CA 90062-1105 |
| Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-3536 |
| Practice Telephone | 6262545000 |
| Mailing Telephone | 6262545000 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-05-01 |
| 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 |
|---|---|---|---|---|
| 1851889513 | Alexis Ulises Medina | Counselor | 1208 E Ventura St Apt D, Santa Paula, CA 93060-2962 | 2018-04-28 |
| 1508465550 | Alexis Medina | Behavior Technician | 8785 Sw 165th Ave Ste 104, Miami, FL 33193-5827 | 2020-10-21 |
| 1396207833 | Alexis Christian Medina | Counselor | 320 Westway Pl Ste 530, Arlington, TX 76018-1000 | 2019-04-03 |
| 1447732839 | Alexis Medina | Chore Provider | 7320 Smoke Ranch Rd Ste H, Las Vegas, NV 89128-0259 | 2018-08-31 |
| 1710239421 | Alexis Medina | Counselor | 113 Metlakatla St, Sitka, AK 99835-7666 | 2012-10-04 |
| Street Address |
3875 S WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90062-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648588 | Sarita Mallya | Psychiatry & Neurology | 3875 S Western Ave, Los Angeles, CA 90062-1105 | 2005-12-02 |
| 1811596943 | Katherine Ha | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062-1105 | 2020-10-20 |
| 1982239091 | Raul Gordon | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062-1105 | 2020-03-09 |
| 1164069787 | Aminta Yesenia Amaya | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062-1105 | 2019-12-02 |
| 1740841949 | Alissa Megan Bolen-ramos | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062-1105 | 2019-06-27 |
| 1205306230 | Raven C Fleming | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062-1105 | 2018-12-03 |
| 1922588227 | Doraluz Rosas | Licensed Vocational Nurse | 3875 S Western Ave, Los Angeles, CA 90062 | 2018-08-16 |
| 1841779535 | Clayton Deewitt Hendrix | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062 | 2018-08-13 |
| 1750741070 | Johnny Gutierrez | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062 | 2016-02-29 |
| 1952768962 | Elizabeth Sanchez | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062-1105 | 2016-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| 1083194773 | Day One Detox Center, Inc | Substance Abuse Rehabilitation Facility | 1421 W 46th St, Los Angeles, CA 90062 | 2018-08-21 |
| 1457863706 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1537 W 49th St, Los Angeles, CA 90062 | 2017-10-26 |
| 1639680259 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1762 W 42nd St, Los Angeles, CA 90062 | 2017-10-23 |
| 1033535794 | Trusana Monique Hall | Licensed Vocational Nurse | 4103 S. Halldale Ave, Los Angeles, CA 90062 | 2014-03-05 |
| 1093139644 | Daniel Garcia | Rehabilitation Practitioner | 3381 Western Ave., Los Angeles, CA 90062 | 2014-02-18 |
| 1689003790 | Crystal Vernon | Case Manager/Care Coordinator | 3881 S. Western Avenue, Los Angeles, CA 90062 | 2013-11-08 |
| 1184902934 | Gerry Lynn Lockhart | Case Manager/Care Coordinator | 3881 S Western Avenue, Los Angeles, CA 90062 | 2011-07-28 |
| 1285921692 | Atlantic Recovery Services | Community/Behavioral Health | 1701 Browning Street, Los Angeles, CA 90062 | 2011-07-06 |
| 1174796452 | Tacora Leggett | Counselor | 5311 S Western Avenue, Los Angeles, CA 90062 | 2008-04-08 |
| Find all providers in zip 90062 | ||||
| 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 |
|---|---|---|---|---|
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1245855725 | Ashley Ivette Berumen | Case Manager/Care Coordinator | 1900 W Slauson Ave, Los Angeles, CA 90047-1129 | 2020-06-10 |
| 1356965776 | Jennifer Yanovski | Case Manager/Care Coordinator | 316 W 2nd St Ste 202, Los Angeles, CA 90012-3527 | 2020-06-01 |
| 1841820560 | Kiara Imani Thomas | Case Manager/Care Coordinator | 226 E 103rd St, Los Angeles, CA 90003-4720 | 2020-01-22 |
| 1023648748 | Christopher Rivas | Case Manager/Care Coordinator | 1410 N Kenmore Ave Apt 5, Los Angeles, CA 90027-5826 | 2020-01-22 |
| 1396383782 | Candace Laolagi | Case Manager/Care Coordinator | 246 E 47th St, Los Angeles, CA 90011-3908 | 2019-12-16 |
| 1902448343 | Aster Libasu | Case Manager/Care Coordinator | 2619 Wilshire Blvd Apt 1005, Los Angeles, CA 90057-3461 | 2019-10-16 |
| 1831749456 | Jasmine Lynn Martinez | Case Manager/Care Coordinator | 6768 Lexington Ave, Los Angeles, CA 90038-1234 | 2019-09-16 |
| 1033762547 | John Charles Gutierrez | Case Manager/Care Coordinator | 4265 S Normandie Ave, Los Angeles, CA 90037-2324 | 2019-07-23 |
| 1609429976 | Vianey Colon | Case Manager/Care Coordinator | 11601 S Western Ave # O, Los Angeles, CA 90047-5006 | 2019-07-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90062 |
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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.