MARY PAMBUKYAN (NPI# 1710334313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710334313 |
| Entity Type | Individual |
| Full Name | MARY PAMBUKYAN |
| Practice Address |
330 E Live Oak Ave Arcadia CA 91006-5617 |
| Practice Telephone | 6262541400 |
| Practice Fax Number | 6268210858 |
| Mailing Telephone | 6262541400 |
| Mailing Fax Number | 6268210858 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
330 E LIVE OAK AVE |
| City | ARCADIA |
| State | CA |
| Zip Code | 91006-5617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578595674 | Los Angeles County Department of Mental Health | Clinic/Center | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2006-07-07 |
| 1376187666 | Veronica Natividad | Community Health Worker | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2019-10-30 |
| 1447808472 | Andrea Wolpert | Social Worker | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2019-09-03 |
| 1639666365 | Kyunghwa Park | Pharmacist | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2018-04-18 |
| 1598124869 | Rolando Perez | Counselor | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2016-02-16 |
| 1528436482 | Kimberly Moser | Counselor | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2015-09-09 |
| 1346620218 | Hilda Guzman | Rehabilitation Practitioner | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2015-06-04 |
| 1891196390 | Elsa Leticia Hernandez | Counselor | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2014-09-16 |
| 1134520307 | Anna Teresa Mejia | Social Worker | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2014-09-08 |
| 1487073607 | Jae Hyun Kim | Specialist | 330 E Live Oak Ave, Arcadia, CA 91006 | 2014-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225510696 | Sheri Shanese Calhoun | Social Worker | 330 E. Live Oak Avenue, Arcadia, CA 91006 | 2018-09-03 |
| 1083129639 | Song Han | Acupuncturist | 14 El Dorado Street, Suite 15, Arcadia, CA 91006 | 2017-12-05 |
| 1154842177 | Cathleen Noel Walsh | Nurse Practitioner | 815 E. Longden Ave, Arcadia, CA 91006 | 2017-06-29 |
| 1881146512 | Mitchell Gee | Pharmacist | 2124 Highland Oaks Dr, Arcadia, CA 91006 | 2016-10-28 |
| 1487003059 | Michael Stewart | Case Manager/Care Coordinator | 800 S. Santa Anita Ave., Arcadia, CA 91006 | 2016-06-06 |
| 1639525983 | Alex Yu | Chiropractor | 202 S. First Ave, Arcadia, CA 91006 | 2016-05-05 |
| 1447637731 | Angel Care Hospice of Arcadia, Inc. | Respite Care | 4115 E Live Oak Ave, Arcadia, CA 91006 | 2015-05-06 |
| 1588050678 | Joel Lim | Internal Medicine | 440 E Huntington Dr Ste 200, Arcadia, CA 91006 | 2015-04-15 |
| 1427497981 | White Wings Hospice Inc | Hospice Care, Community Based | 333 N Santa Anita Ave Ste 5, Arcadia, CA 91006 | 2013-06-18 |
| 1649511551 | Margaret Lihani | Social Worker | 41 E. Foothill Blvd., Suite 200-a, Arcadia, CA 91006 | 2013-03-04 |
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| 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 |
|---|---|---|---|---|
| 1841844313 | Donyetta Patrice Jackson | Case Manager/Care Coordinator | 2542 4th Street Apt 193, Arcadia, LA 71001 | 2019-08-01 |
| 1356819858 | Jacqueline Willis | Case Manager/Care Coordinator | 137 Willett Rd, Arcadia, LA 71001-5624 | 2018-11-02 |
| 1063961555 | Vy Tuong Ly | Case Manager/Care Coordinator | 905 S Golden West Ave Apt B, Arcadia, CA 91007-8816 | 2016-09-26 |
| 1871047340 | Mourad Nasralla | Case Manager/Care Coordinator | 301 E Foothill Blvd Ste 100, Arcadia, CA 91006-2551 | 2016-08-12 |
| 1487003059 | Michael Stewart | Case Manager/Care Coordinator | 800 S. Santa Anita Ave., Arcadia, CA 91006 | 2016-06-06 |
| 1356701585 | Cussandra Felton-johnson | Case Manager/Care Coordinator | 1217 Crawford St, Arcadia, LA 71001 | 2016-03-01 |
| 1326410614 | Elisha Collinsworth | Case Manager/Care Coordinator | 1921 N Railroad Ave, Arcadia, LA 71001 | 2015-10-26 |
| 1093013823 | Judith Nieto | Case Manager/Care Coordinator | 12310 Lower Azusa Road, Arcadia, CA 91006-5872 | 2011-03-02 |
| 1306148812 | La Tesia Wilson | Case Manager/Care Coordinator | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 | 2010-12-03 |
| 1063013464 | Breanna Wayne | Case Manager/Care Coordinator | 1564 Hazel St, Arcadia, LA 71001-4106 | 2020-11-03 |
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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.