KELLY MARIE BRAY (NPI# 1780235952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780235952 |
| Entity Type | Individual |
| Full Name | KELLY MARIE BRAY |
| Practice Address |
4283 El Cajon Blvd Ste 115 San Diego CA 92105-1289 |
| Practice Telephone | 6195211743 |
| Mailing Telephone | 6195211743 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043525785 | Kelly Bray | Emergency Medicine | 2035 S Indiana Ave, 312, Chicago, IL 60616-4925 | 2010-08-18 |
| 1639326887 | Kelly Lynn Bray | Physical Therapist | 1401 Gettysburg Lndg, Saint Charles, MO 63303-6104 | 2008-08-19 |
| 1790241214 | Kelly D Bray | Specialist/Technologist | 2001 Main St, Buffalo, NY 14208-1035 | 2019-02-20 |
| Street Address |
4283 EL CAJON BLVD STE 115 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92105-1289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689713752 | Rebecca Marie Asnicar | Counselor | 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 | 2007-02-06 |
| 1164020251 | Jeremiah Dwayne Mason | Case Manager/Care Coordinator | 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 | 2020-10-12 |
| 1194333773 | Paulina Vazquez | Peer Specialist | 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 | 2020-07-20 |
| 1639796576 | Kara Rose Young | Registered Nurse | 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 | 2020-06-26 |
| 1104448422 | Janette Flores | Case Manager/Care Coordinator | 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 | 2020-05-08 |
| 1134753932 | Natalia Zecchini | Counselor | 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 | 2020-03-02 |
| 1417594490 | Daniel Goren | Peer Specialist | 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 | 2019-12-09 |
| 1194283408 | Jerry M Holmes Jr. | Case Manager/Care Coordinator | 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 | 2019-03-05 |
| 1528537677 | Danette Stark | Case Manager/Care Coordinator | 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 | 2018-11-19 |
| 1376024018 | Gina Chung | Counselor | 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 | 2018-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934798 | Point Loma Nazarene University | Nurse Practitioner | Point Loma Nazarene University Health Promotion Center, 4101 University Avenue, San Diego, CA 92105 | 2019-10-23 |
| 1104478809 | Kristin Lynn Nichols | Counselor | 4823 El Cajon Blvd Suite #115, San Diego, CA 92105 | 2019-07-12 |
| 1205343076 | Momentum Learning | Counselor | 3720 El Cajon Blvd., Sd, CA 92105 | 2018-01-03 |
| 1306352695 | Nathan Hien Le, Dds. Inc | Dentist | 4170 Fairmount Ave., San Diego, CA 92105 | 2017-12-21 |
| 1073038071 | Aika Mary Erlandson | Student in an Organized Health Care Education/Training Program | 5296 University Ave. Suite F-2, San Diego, CA 92105 | 2017-08-10 |
| 1457872178 | Ride-in Transport LLC | Non-emergency Medical Transport (VAN) | 4061 Fairmount Ave, San Diego, CA 92105 | 2017-07-03 |
| 1598205346 | Ahmed Mooge | Ambulance | 4061 Fairmout Ave, San Diego, CA 92105 | 2017-02-27 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1730634098 | Med Specialty Sai Inc. | Pharmacy | 4153 University Avenue, Suite B, San Diego, CA 92105 | 2016-08-16 |
| 1568857464 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 | 2015-03-30 |
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| 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 |
|---|---|---|---|---|
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1770105439 | Timothy Mccloud | Case Manager/Care Coordinator | 6160 Mission Gorge Rd # 108, San Diego, CA 92120-3410 | 2020-05-15 |
| 1043846272 | Daniel Rafael Martinez | Case Manager/Care Coordinator | 8825 Aero Dr Ste 305, San Diego, CA 92123-2270 | 2020-03-19 |
| 1043844376 | Ariel A Anderson | Case Manager/Care Coordinator | 8501 Larkdale Ave, San Diego, CA 92123-2047 | 2020-02-25 |
| 1124664818 | Sarah Milan | Case Manager/Care Coordinator | 1846 30th St Apt A, San Diego, CA 92102-1145 | 2019-11-18 |
| 1750930814 | Christine Guianne Mupas Ramos | Case Manager/Care Coordinator | 1660 Hotel Cir N # 320, San Diego, CA 92108-2807 | 2019-09-10 |
| 1437708518 | Brendan Domingo Guerra | Case Manager/Care Coordinator | 5617 Vista San Juanico, San Diego, CA 92154-5672 | 2019-09-10 |
| 1457912982 | Kendra Crater | Case Manager/Care Coordinator | 3481 Kurtz St, San Diego, CA 92110-4430 | 2019-06-25 |
| 1790342319 | Ariella Beth Darlington | Case Manager/Care Coordinator | 3644 Princeton Ave, San Diego, CA 92117-5637 | 2019-05-20 |
| 1013572361 | Brandon Joel Jessie | Case Manager/Care Coordinator | 1250 Morena Blvd Bldg 2nd, San Diego, CA 92110-3815 | 2019-05-02 |
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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.