VIVIAN ROSE DIAZ (NPI# 1710424791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710424791 |
| Entity Type | Individual |
| Full Name | VIVIAN ROSE DIAZ |
| Other Name | MS. VIVIAN ROSE MENA |
| Credential | CAS 1 |
| Practice Address |
2550 W Clinton Ave Fresno CA 93705-4201 |
| Practice Telephone | 5592647521 |
| Practice Fax Number | 5594410303 |
| Mailing Telephone | 5592647521 |
| Mailing Fax Number | 5594410303 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2019-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | C7591214 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686787 | Vivian Diaz | Dentist | 1395 Center Dr Rm D8-18b, Gainesville, FL 32610-3006 | 2020-07-15 |
| 1245560028 | Vivian Elena Diaz | Dentist | 7150 W 20th Ave, Suite 102, Hialeah, FL 33016-5529 | 2009-12-30 |
| Street Address |
2550 W CLINTON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93705-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578522462 | Doris T Tan | Psychiatry & Neurology | 2550 W Clinton Ave, Fresno, CA 93705-4201 | 2006-03-21 |
| 1174133680 | Norageen Ashlee Caballero | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4206 | 2020-08-10 |
| 1801405741 | Kierra Shaunte Gordon-smith | Marriage & Family Therapist | 2550 W Clinton Ave, Fresno, CA 93705-4206 | 2020-07-27 |
| 1770101313 | David Ruiz | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4206 | 2020-07-09 |
| 1023647054 | Adriana Gutierrez | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4206 | 2020-04-02 |
| 1811537830 | Destiny Lee Vassar | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4206 | 2020-01-07 |
| 1528605037 | Angelita Martinez | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4201 | 2019-12-03 |
| 1235775560 | Yvonne Callaway | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4201 | 2019-11-21 |
| 1194361410 | Nicole Lea Carl | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4201 | 2019-11-21 |
| 1508408204 | Heather Nicole Stuckey | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4201 | 2019-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295683 | Deja Marie Velasquez | Counselor | 2772 S. Martin Luther King Jr. Blvd., Fresno, CA 93705 | 2018-11-28 |
| 1952800344 | Maria Del Rosario Marin | Counselor | 2550 W. Clinton Ave., Fresno, CA 93705 | 2018-02-12 |
| 1326293978 | Sueann Vial | Marriage & Family Therapist | 4545 N. West Ave, Fresno, CA 93705 | 2008-11-24 |
| 1396227757 | Raul Prado Jr. | Marriage & Family Therapist | 4545 N West Ave, Fresno, CA 93705 | 2018-09-02 |
| 1538645353 | Amabelle Shayeghi Marquez | Dentist | 1255 W Shields Ave, Fresno, CA 93705 | 2018-07-15 |
| 1114443165 | Melissa De Benedetto | Marriage & Family Therapist | 4545 N. West Ave., Fresno, CA 93705 | 2017-08-21 |
| 1033630421 | Lorena Soledad Dominguez | Marriage & Family Therapist | 4545 N. West Ave., Fresno, CA 93705 | 2017-07-06 |
| 1023370350 | Stacie A Baum | Marriage & Family Therapist | 4545 N West Ave, Fresno, CA 93705 | 2012-06-12 |
| 1194019422 | John David Kampschmidt | Nurse Practitioner | 199 W Shields Ave, Fresno, CA 93705 | 2011-06-03 |
| 1548554165 | Fresno County Department of Behavioral Health | Counselor | 4441 E Kings Canyon Rd, # 317, Fresno, CA 93705 | 2011-05-31 |
| Find all providers in zip 93705 | ||||
| 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 |
|---|---|---|---|---|
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1588272876 | Avarita Shari Henry | Case Manager/Care Coordinator | 3710 Iris Ridge Way, Fresno, TX 77545-6040 | 2020-07-22 |
| 1780201954 | Sabrina Syvankham | Case Manager/Care Coordinator | 4789 E Kings Canyon Rd, Fresno, CA 93702-4069 | 2020-07-02 |
| 1487270658 | Choua Yang | Case Manager/Care Coordinator | 4861 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-06-23 |
| 1801428834 | Alicia Danielle Sanchez | Case Manager/Care Coordinator | 7029 N Oratorio Dr, Fresno, CA 93711-0146 | 2020-02-07 |
| 1689136350 | Marissa Carrillo | Case Manager/Care Coordinator | 1797 E Dorothy St, Fresno, CA 93706-5430 | 2019-04-02 |
| 1902363609 | Ma Irene Sanchez Sanchez | Case Manager/Care Coordinator | 4411 E Kings Canyon Rd Ste 319, Fresno, CA 93702-3604 | 2019-02-28 |
| 1144790411 | Garfield Jermyuer Spencer | Case Manager/Care Coordinator | 3433 W Shaw Ave Ste 103, Fresno, CA 93711-3229 | 2018-11-29 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| Find all providers in FRESNO | ||||
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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.