KELLY JEANNETTE SANTOS (NPI# 1811434228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811434228 |
| Entity Type | Individual |
| Full Name | KELLY JEANNETTE SANTOS |
| Practice Address |
3701 Stocker St Ste 104 View Park CA 90008-5145 |
| Mailing Address |
1031 W 78th St Los Angeles CA 90044-3501 |
| Practice Telephone | 3232955616 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |
| 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 |
|---|---|---|---|---|
| 1528602158 | Kelly Anne Santos | Nurse Practitioner | 3485 Davisville Rd, Hatboro, PA 19040-4220 | 2019-11-06 |
| Street Address |
3701 STOCKER ST STE 104 |
| City | VIEW PARK |
| State | CA |
| Zip Code | 90008-5145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184795742 | Andrea Clarissia Major | Case Manager/Care Coordinator | 3701 Stocker St Ste 104, View Park, CA 90008-5145 | 2006-11-13 |
| 1437718400 | Genecis Lizvet Munoz-sanchez | Counselor | 3701 Stocker St Ste 104, View Park, CA 90008-5145 | 2019-06-12 |
| 1982180121 | Eloisa Bonilla | Marriage & Family Therapist | 3701 Stocker St Ste 104, View Park, CA 90008 | 2018-07-11 |
| 1689194128 | Martha Talamantes | Case Manager/Care Coordinator | 3701 Stocker St Ste 104, View Park, CA 90008-5145 | 2017-06-26 |
| 1174976443 | Shauna Renee' Mcclain | Counselor | 3701 Stocker St Ste 104, View Park, CA 90008-5145 | 2016-07-21 |
| 1447610688 | Trina Robinson | Case Manager/Care Coordinator | 3701 Stocker St Ste 104, View Park, CA 90008-5145 | 2016-03-01 |
| 1013219625 | Sarah Michelle Tayebi | Counselor | 3701 Stocker St Ste 104, View Park, CA 90008 | 2010-12-02 |
| 1639485808 | Rhiannon Louise Wilson | Counselor | 3701 Stocker St Ste 104, View Park, CA 90008-5145 | 2010-08-26 |
| 1699979021 | Afumi Saito | Marriage & Family Therapist | 3701 Stocker St Ste 104, View Park, CA 90008-5145 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185215 | Mishanda Y Freeman | Social Worker | 3001 West Vernon Ave, Los Angeles, CA 90008 | 2019-10-11 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1356840128 | Acclivity | Community/Behavioral Health | 3870 Crenshaw Blvd Ste 229, Los Angeles, CA 90008 | 2018-02-07 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
| 1144748591 | Alexandra Nicole Romero | Social Worker | 3751 Stocker St., Los Angeles, CA 90008 | 2017-09-06 |
| 1669998209 | Leslie S Ortiz | Counselor | 3731 Stocker Street, Suite 105, Los Angeles, CA 90008 | 2017-08-15 |
| 1902335078 | Deanna L Williams | Counselor | 3757 Santa Rosalia Drive, #628, Los Angeles, CA 90008 | 2017-06-12 |
| 1609300508 | Lydia Quintanills | Counselor | 3756 Santa Rosalia Dr Suite 617, Los Angeles, CA 90008 | 2017-04-18 |
| 1881056661 | A Plus Care Giver Services | Clinic/Center | 2420 W. Mlk Jr. Blvd, Los Angeles, CA 90008 | 2016-03-22 |
| Find all providers in zip 90008 | ||||
| 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 |
|---|---|---|---|---|
| 1801280227 | Senait Johnson | Case Manager/Care Coordinator | 5125 Escalon Ave, View Park, CA 90043-1641 | 2015-03-24 |
| 1184795742 | Andrea Clarissia Major | Case Manager/Care Coordinator | 3701 Stocker St Ste 104, View Park, CA 90008-5145 | 2006-11-13 |
| 1497381826 | Markisha Wooldridge | Case Manager/Care Coordinator | 3761 Stocker St, View Park, CA 90008-5111 | 2020-03-17 |
| 1053954552 | Cecilia Aracely Quezada | Case Manager/Care Coordinator | 3701 Stocker St Ste 402, View Park, CA 90008-5123 | 2019-10-28 |
| 1487204541 | Luz Rodriguez | Case Manager/Care Coordinator | 3751 Stocker St, View Park, CA 90008-5101 | 2019-09-19 |
| 1730736091 | Jessica Maria Walker | Case Manager/Care Coordinator | 3741 Stocker St Ste 207, View Park, CA 90008-5148 | 2019-08-21 |
| 1689143455 | Jacquelyn Nash | Case Manager/Care Coordinator | 3761 Stocker St Ste 211, View Park, CA 90008-5129 | 2018-11-21 |
| 1518440163 | Francisca Rdoriguez | Case Manager/Care Coordinator | 3751 Stocker St, View Park, CA 90008-5101 | 2018-09-10 |
| 1609360296 | Alma Casillas | Case Manager/Care Coordinator | 3751 Stocker St, View Park, CA 90008-5101 | 2018-06-18 |
| 1467956953 | Anita A Perdomo | Case Manager/Care Coordinator | 3751 Stocker St, View Park, CA 90008-5101 | 2018-03-20 |
| Find all providers in VIEW PARK | ||||
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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.