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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
18700 OXNARD ST |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-1413 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 91356 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.