RANDY GONZALEZ (NPI# 1801386743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801386743 |
| Entity Type | Individual |
| Full Name | RANDY GONZALEZ |
| Practice Address |
3435 Ocean Park Blvd Ste 207 Santa Monica CA 90405-3314 |
| Practice Telephone | 3103929474 |
| Mailing Telephone | 3103929474 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3435 OCEAN PARK BLVD STE 207 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90405-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891074928 | Brittani Simberg | Social Worker | 3435 Ocean Park Blvd Ste 207, Santa Monica, CA 90405-3314 | 2011-08-07 |
| 1952900144 | Kimberly Morgan | Counselor | 3435 Ocean Park Blvd Ste 207, Santa Monica, CA 90405-3314 | 2020-10-20 |
| 1972100907 | Valeria Montoya Ramirez | Case Manager/Care Coordinator | 3435 Ocean Park Blvd Ste 207, Santa Monica, CA 90405-3314 | 2020-10-02 |
| 1104475938 | Allison Rubinowitz | Student in an Organized Health Care Education/Training Program | 3435 Ocean Park Blvd Ste 207, Santa Monica, CA 90405-3314 | 2019-09-04 |
| 1003334442 | Javier Rodriguez | Student in an Organized Health Care Education/Training Program | 3435 Ocean Park Blvd Ste 207, Santa Monica, CA 90405-3314 | 2017-09-06 |
| 1538617956 | Louise Hooper | Counselor | 3435 Ocean Park Blvd Ste 207, Santa Monica, CA 90405-3314 | 2016-09-14 |
| 1629525464 | Rebecca Kennedy | Counselor | 3435 Ocean Park Blvd Ste 207, Santa Monica, CA 90405-3314 | 2016-09-09 |
| 1184026882 | Seerat Jammu | Counselor | 3435 Ocean Park Blvd Ste 207, Santa Monica, CA 90405-3314 | 2014-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328476 | Nicole Ryan Harbeck | Marriage & Family Therapist | 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 | 2019-07-19 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1285171371 | Jori Adler Marriage & Family Therapy Prof. Corp. | Marriage & Family Therapist | 3400 Airport Ave Ste 30, Santa Monica, CA 90405 | 2017-01-26 |
| 1376993147 | Damoan Corp. | Speech-Language Pathologist | 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 | 2016-06-13 |
| 1427410034 | Adam Rubio | Clinical Neuropsychologist | 1916 4th Street, Santa Monica, CA 90405 | 2016-03-23 |
| 1760852842 | Yramnna Smith | Behavioral Analyst | 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 | 2015-10-01 |
| 1689086076 | Cheryl K. Baker | Community Health Worker | 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 | 2014-05-20 |
| 1629409891 | Dominique M. Delvecchio | Nurse Practitioner | 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 | 2013-12-12 |
| 1639512692 | Nancy Elizabeth Hyland | Marriage & Family Therapist | 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 | 2013-04-09 |
| Find all providers in zip 90405 | ||||
| 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 |
|---|---|---|---|---|
| 1215129747 | Kira Dimitroff | Case Manager/Care Coordinator | 1848 Lincoln Blvd Ste 100, Santa Monica, CA 90404-4580 | 2007-08-17 |
| 1922207976 | Sarah Babb | Case Manager/Care Coordinator | 1751 Cloverfield, Santa Monica, CA 90404 | 2007-07-11 |
| 1104946169 | Wayne Bauer | Case Manager/Care Coordinator | 2701 Ocean Park Blvd Ste 150, Santa Monica, CA 90405-5219 | 2007-03-30 |
| 1689706509 | Summer Jay Langley | Case Manager/Care Coordinator | 1848 Lincoln Blvd, Suite 100, Santa Monica, CA 90404-4580 | 2007-03-09 |
| 1780725606 | Kimjoy Wheaton | Case Manager/Care Coordinator | 1751 Cloverfield Blvd, Santa Monica, CA 90404-4007 | 2007-02-12 |
| 1972100907 | Valeria Montoya Ramirez | Case Manager/Care Coordinator | 3435 Ocean Park Blvd Ste 207, Santa Monica, CA 90405-3314 | 2020-10-02 |
| 1275140238 | Saidy Amador | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-09-24 |
| 1124634167 | Jacklyn Pricella Saucedo | Case Manager/Care Coordinator | 1023 Pico Blvd, Santa Monica, CA 90405-1415 | 2020-09-16 |
| 1114539392 | Melissa Meza | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-08-19 |
| 1760091896 | Crystal Corral Herrera | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-07-24 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90405 |
Please comment or provide details below to improve the information on RANDY GONZALEZ.
| 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.