RENEE RACHEL GARCIA-WIDJAJA (NPI# 1841477593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841477593 |
| Entity Type | Individual |
| Full Name | RENEE RACHEL GARCIA-WIDJAJA |
| Practice Address |
760 W Nielsen Ave Fresno CA 93706-1731 |
| Practice Telephone | 5592680139 |
| Practice Fax Number | 5592680211 |
| Mailing Telephone | 5592680139 |
| Mailing Fax Number | 5592680211 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |
| Gender Code | F |
| 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 |
760 W NIELSEN AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023165040 | Tamra Renee Coates | Case Manager/Care Coordinator | 760 W Nielsen Ave, Fresno, CA 93706-1731 | 2007-01-04 |
| 1396991386 | Gary Michael Healy | Case Manager/Care Coordinator | 760 W Nielsen Ave, Fresno, CA 93706-1731 | 2008-08-11 |
| 1922279744 | Janis Verhaert | Case Manager/Care Coordinator | 760 W Nielsen Ave, Fresno, CA 93706-1731 | 2008-03-19 |
| 1508042789 | Stacy Doris Mauro | Case Manager/Care Coordinator | 760 W Nielsen Ave, Fresno, CA 93706-1731 | 2008-01-17 |
| 1497931679 | Anita J Harper | Case Manager/Care Coordinator | 760 W Nielsen Ave, Fresno, CA 93706-1731 | 2008-01-17 |
| 1417133687 | Diane Lee Hernandez | Case Manager/Care Coordinator | 760 W Nielsen Ave, Fresno, CA 93706-1731 | 2008-01-17 |
| 1265618433 | Youa Her | Case Manager/Care Coordinator | 760 W Nielsen Ave, Fresno, CA 93706-1731 | 2008-01-17 |
| 1528243425 | Michelle Renee Sloan | Case Manager/Care Coordinator | 760 W Nielsen Ave, Fresno, CA 93706-1731 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| 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 |
|---|---|---|---|---|
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1588272876 | Avarita Shari Henry | Case Manager/Care Coordinator | 3710 Iris Ridge Way, Fresno, TX 77545-6040 | 2020-07-22 |
| 1780201954 | Sabrina Syvankham | Case Manager/Care Coordinator | 4789 E Kings Canyon Rd, Fresno, CA 93702-4069 | 2020-07-02 |
| 1487270658 | Choua Yang | Case Manager/Care Coordinator | 4861 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-06-23 |
| 1801428834 | Alicia Danielle Sanchez | Case Manager/Care Coordinator | 7029 N Oratorio Dr, Fresno, CA 93711-0146 | 2020-02-07 |
| 1689136350 | Marissa Carrillo | Case Manager/Care Coordinator | 1797 E Dorothy St, Fresno, CA 93706-5430 | 2019-04-02 |
| 1902363609 | Ma Irene Sanchez Sanchez | Case Manager/Care Coordinator | 4411 E Kings Canyon Rd Ste 319, Fresno, CA 93702-3604 | 2019-02-28 |
| 1144790411 | Garfield Jermyuer Spencer | Case Manager/Care Coordinator | 3433 W Shaw Ave Ste 103, Fresno, CA 93711-3229 | 2018-11-29 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| Find all providers in FRESNO | ||||
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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.