MARLA RENEE GODDARD (NPI# 1750626552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750626552 |
| Entity Type | Individual |
| Full Name | MARLA RENEE GODDARD |
| Credential | RN |
| Practice Address |
151 Kalmus Drive K3 Costa Mesa CA 92627 |
| Practice Telephone | 7143843870 |
| Mailing Telephone | 7143843870 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 396671 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1174607626 | 1174607626 | 01 |
| Street Address |
151 KALMUS DRIVE K3 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| 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 |
|---|---|---|---|---|
| 1174093017 | The Dream Recovery | Case Manager/Care Coordinator | 3151 Airway Ave Ste G3, Costa Mesa, CA 92626-4624 | 2018-12-04 |
| 1841611076 | Heather Flickinger | Case Manager/Care Coordinator | 375 E. Baker Street, Suite A, Costa Mesa, CA 92626 | 2013-12-13 |
| 1326343021 | Robert John Tomaka | Case Manager/Care Coordinator | 2840 Andros St, Costa Mesa, CA 92626-4803 | 2011-01-11 |
| 1740747617 | Quynh Nguyen | Case Manager/Care Coordinator | 555 Anton Blvd Ste 150, Costa Mesa, CA 92626-7036 | 2019-02-26 |
| 1881174142 | Brittnae A Stallworth | Case Manager/Care Coordinator | 275 Baker St, Costa Mesa, CA 92626-4566 | 2018-08-16 |
| 1801376132 | Sharon Tran | Case Manager/Care Coordinator | 275 Baker St Ste A, Costa Mesa, CA 92626-4566 | 2018-08-16 |
| 1629572672 | Kimberly K Alexander | Case Manager/Care Coordinator | 2915 Red Hill Ave Ste C102, Costa Mesa, CA 92626-5930 | 2018-03-22 |
| 1225568769 | Melissa Ann Mirando | Case Manager/Care Coordinator | 275 Baker St Ste A, Costa Mesa, CA 92626-4566 | 2017-06-18 |
| 1477095578 | Lily Rico | Case Manager/Care Coordinator | 3188 Airway Ave, Suite F, Costa Mesa, CA 92626-4652 | 2016-11-07 |
| 1619345709 | Charlene Olmsted | Case Manager/Care Coordinator | 275 Baker St E Ste A, Costa Mesa, CA 92626-4566 | 2015-09-08 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
Please comment or provide details below to improve the information on MARLA RENEE GODDARD.
| 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.