STEPHANIE DE ANDA


Address: 18700 Oxnard St, Tarzana, CA 91356-1413
Phone: 8186543950

STEPHANIE DE ANDA (NPI# 1760018444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760018444
Entity Type Individual
Full Name STEPHANIE DE ANDA
Practice Address 18700 Oxnard St
Tarzana
CA 91356-1413
Mailing Address 14808 Brand Blvd
Mission Hills
CA 91345-1701
Practice Telephone 8186543950
Mailing Telephone 7144524326
Enumeration Date 2020-03-13
Last Update Date 2020-03-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 18700 OXNARD ST
City TARZANA
State CA
Zip Code 91356-1413

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699806943 Darlene Henderson Community Health Worker 18700 Oxnard St, Tarzana, CA 91356-1413 2007-03-08
1174123871 Denise Campos Community Health Worker 18700 Oxnard St, Tarzana, CA 91356-1413 2020-10-30
1740895655 Celenia Margarita Lopez Case Manager/Care Coordinator 18700 Oxnard St, Tarzana, CA 91356-1413 2020-09-09
1629681606 Edwin Chavez Health Educator 18700 Oxnard St, Tarzana, CA 91356-1413 2020-08-28
1083227706 Gricelda Mora-rios Health Educator 18700 Oxnard St, Tarzana, CA 91356-1413 2020-08-24
1700499340 Aminta Leonor Dixon-lorenzo Counselor 18700 Oxnard St, Tarzana, CA 91356-1413 2020-08-24
1932711801 Aundrea Delacruz-aguilar Counselor 18700 Oxnard St, Tarzana, CA 91356-1413 2020-08-20
1043820822 Moises Angulo Community Health Worker 18700 Oxnard St, Tarzana, CA 91356-1413 2020-08-05
1851914949 Jeremy Fain Counselor 18700 Oxnard St, Tarzana, CA 91356-1413 2020-05-22
1043832181 Valeria Romo Counselor 18700 Oxnard St, Tarzana, CA 91356-1413 2020-05-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679137293 Sarah Badreau Behavior Technician 5554 Reseda Blv., Tarzana, CA 91356 2019-04-29
1831661966 Daraie Dental Group Inc Dentist 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 2018-12-31
1982182770 Blanca Garay Respiratory Therapist, Registered 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 2018-08-02
1437659000 Chloe Kang Speech-Language Pathologist 19019 Ventura Blvd., Tarzana, CA 91356 2018-02-20
1114430139 Avb & Lv Corporation Home Health 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 2017-11-13
1881110468 Samina Qadir Registered Nurse 18321 Clark St., Tarzana, CA 91356 2017-08-16
1700306776 Debbie Rehman Lux Marriage & Family Therapist 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 2017-06-21
1467980631 Valley Nerological Services, LLC Radiology 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 2017-05-31
1669906020 Evolve Growth Initiatives LLC Clinic/Center 5435 Aura Avenue, Tarzana, CA 91356 2017-04-12
1780130088 Evolve Growth Initiatives, LLC Clinic/Center 5358 Vanalden Drive, Tarzana, CA 91356 2016-08-28
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184767121 Good Life Resources, Inc. Case Manager/Care Coordinator 18653 Ventura Blvd, Suite 139, Tarzana, CA 91356-4103 2007-02-15
1194322487 Briana Johnson Case Manager/Care Coordinator 18646 Oxnard St, Tarzana, CA 91356-1411 2020-10-08
1558978056 Erica Hernandez Case Manager/Care Coordinator 18646 Oxnard St, Tarzana, CA 91356-1486 2020-09-28
1740895655 Celenia Margarita Lopez Case Manager/Care Coordinator 18700 Oxnard St, Tarzana, CA 91356-1413 2020-09-09
1265065510 Melissa Pinlac Case Manager/Care Coordinator 19019 Ventura Blvd, Tarzana, CA 91356-3253 2020-02-14
1720610793 Jackeline Samayoa Case Manager/Care Coordinator 19019 Ventura Blvd, Tarzana, CA 91356-3253 2020-02-07
1114492501 Kyle Elliott Davis Case Manager/Care Coordinator 19019 Ventura Blvd, Tarzana, CA 91356-3253 2018-10-11
1306336797 Elizabeth D Punit Case Manager/Care Coordinator 19634 Ventura Blvd Ste 303, Tarzana, CA 91356-6022 2018-05-11
1043726300 Stephanie Lopez Case Manager/Care Coordinator 18646 Oxnard St, Tarzana, CA 91356-1411 2017-12-22
1578080818 Colby Bo Slyapich Case Manager/Care Coordinator 18646 Oxnard St., Tarzana, CA 91356 2017-08-28
Find all providers in TARZANA

Competitor

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City TARZANA
Zip Code 91356

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Dataset Information

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.

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