AJ LAND III (NPI# 1750923462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750923462 |
| Entity Type | Individual |
| Full Name | AJ LAND III |
| Practice Address |
1001 Needham St Modesto CA 95354-0730 |
| Practice Telephone | 2095630373 |
| Mailing Telephone | 2095630373 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| Street Address |
1001 NEEDHAM ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-0730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245381318 | Ashley Jackson | Marriage & Family Therapist | 1001 Needham St, Modesto, CA 95354-0730 | 2007-01-16 |
| 1649879958 | James Michael Edmondson | Case Manager/Care Coordinator | 1001 Needham St, Modesto, CA 95354-0730 | 2020-10-19 |
| 1275173874 | Kendra Matott | Psychologist | 1001 Needham St, Modesto, CA 95354-0730 | 2020-01-10 |
| 1588206445 | Sara Nicole Cline | Counselor | 1001 Needham St, Modesto, CA 95354-0730 | 2019-10-11 |
| 1336798644 | Jose Betancourt | Marriage & Family Therapist | 1001 Needham St, Modesto, CA 95354-0730 | 2019-09-09 |
| 1396305009 | Ronald Joseph Roy | Peer Specialist | 1001 Needham St, Modesto, CA 95354-0730 | 2019-06-14 |
| 1881252021 | Brenda Melissa Estrada Ramirez | Case Manager/Care Coordinator | 1001 Needham St, Modesto, CA 95354-0730 | 2019-06-03 |
| 1235795022 | Carla Taunes Gorman | Technician | 1001 Needham St, Modesto, CA 95354-0730 | 2019-05-16 |
| 1073177887 | Virginia Betty Linker | Peer Specialist | 1001 Needham St, Modesto, CA 95354-0730 | 2019-04-26 |
| 1831655257 | Angela Amaral | Case Manager/Care Coordinator | 1001 Needham St, Modesto, CA 95354-0730 | 2019-02-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| 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 |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1154948149 | Lauren N Zampieri | Case Manager/Care Coordinator | 1706 Sandalwood Dr, Modesto, CA 95350-3819 | 2020-06-25 |
| 1487271474 | Jonathan Reinke | Case Manager/Care Coordinator | 605 E Coolidge Ave Apt 21, Modesto, CA 95350-4591 | 2020-06-25 |
| 1699395871 | Andrea Valencia | Case Manager/Care Coordinator | 1095 Carver Rd Unit 213, Modesto, CA 95350-7705 | 2020-04-17 |
| 1649806373 | Harshil Girn | Case Manager/Care Coordinator | 2628 Medinah Ct, Modesto, CA 95355-9666 | 2020-03-13 |
| 1932740693 | Jennifer Rogers | Case Manager/Care Coordinator | 525 S Jefferson St, Modesto, CA 95351-2708 | 2019-10-03 |
| 1710543152 | Nina Lajeen | Case Manager/Care Coordinator | 2109 Norik Dr, Modesto, CA 95355-9155 | 2019-05-10 |
| 1629631106 | Jayne Sharon Nunes | Case Manager/Care Coordinator | 800 Scenic Dr Bldg B, Modesto, CA 95350-6131 | 2019-04-19 |
| 1467937789 | Danica Freitas | Case Manager/Care Coordinator | 4008 Nugget Dr, Modesto, CA 95355-9526 | 2018-10-02 |
| 1538664321 | Melonie Johnson | Case Manager/Care Coordinator | 4417 Crestmont Way, Modesto, CA 95356-9343 | 2018-03-26 |
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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.