MRS. SHOBHA GAUTAM (NPI# 1780858969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780858969 |
| Entity Type | Individual |
| Full Name | MRS. SHOBHA GAUTAM |
| Practice Address |
1000 West Carson St Harbor Ucla Medical Center Psych Er Torrance CA 90502 |
| Practice Telephone | 3102223144 |
| Mailing Telephone | 3102223144 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |
| 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 |
1000 WEST CARSON ST HARBOR UCLA MEDICAL CENTER PSYCH ER |
| City | TORRANCE |
| State | CA |
| Zip Code | 90502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194906586 | Cynthia Lorenzo | Pathology | 1000 West Carson St, Torrance, CA 90509 | 2007-11-14 |
| 1447780820 | Donna Dayrit Young | Registered Nurse | 1000 West Carson St, Torrance, CA 90509 | 2017-06-18 |
| 1548795172 | Brandon Stark | Student in an Organized Health Care Education/Training Program | 1000 West Carson St, Torrance, CA 90509 | 2017-04-20 |
| 1588198204 | Sonny Truong Nguyen | Student in an Organized Health Care Education/Training Program | 1000 West Carson St, Torrance, CA 90509 | 2017-04-19 |
| 1477908911 | Tyler Hughes | Student in an Organized Health Care Education/Training Program | 1000 West Carson St, 4th Floor, Box 422, Torrance, CA 90509 | 2016-05-03 |
| 1538592522 | Chie Kurihara | Student in an Organized Health Care Education/Training Program | 1000 West Carson St, Box 17, Torrance, CA 90509 | 2013-08-14 |
| 1457679631 | Jeffrey Kim | Psychiatry & Neurology | 1000 West Carson St, La County Harbor-ucla Medical Center, Torrance, CA 90509 | 2010-05-12 |
| 1386811909 | Alina Gorgorian | Psychologist | 1000 West Carson St, Torrance, CA 90509 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| Find all providers in zip 90502 | ||||
| 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 |
|---|---|---|---|---|
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1366700098 | Rosa Maria Cetina | Case Manager/Care Coordinator | 370 South Crenshaw Blv, Suite 100, Torrance, CA 90501-4726 | 2012-05-01 |
| 1699949321 | Catalina Arias Hernandez | Case Manager/Care Coordinator | 370 Crenshaw Blvd Ste 100, Torrance, CA 90503-1727 | 2008-04-14 |
| 1730395096 | Sergio Lopez | Case Manager/Care Coordinator | 16700 Yukon Ave, Apt 205, Torrance, CA 90504-1300 | 2007-05-15 |
| 1346850054 | Marquisha Harris | Case Manager/Care Coordinator | 4025 W 226th St, Torrance, CA 90505-2340 | 2020-08-06 |
| 1679104038 | Stephanie Dodge | Case Manager/Care Coordinator | 4025 W 226th St, Torrance, CA 90505-2340 | 2020-02-03 |
| 1689211203 | Denise Anderson Bloomfield | Case Manager/Care Coordinator | 21707 Hawthorne Blvd Ste 300, Torrance, CA 90503-7016 | 2019-12-02 |
| 1124663661 | Priscilla Lazo | Case Manager/Care Coordinator | 4025 W 226th St, Torrance, CA 90505-2340 | 2019-11-07 |
| 1508413543 | Alyssa Tassone | Case Manager/Care Coordinator | 21707 Hawthorne Blvd Ste 300, Torrance, CA 90503-7016 | 2019-08-23 |
| 1639739865 | Aglae Lopez | Case Manager/Care Coordinator | 21707 Hawthorne Blvd, Torrance, CA 90503-7009 | 2019-06-19 |
| Find all providers in TORRANCE | ||||
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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.