JACQUELINE GUTIERREZ (NPI# 1861851982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861851982 |
| Entity Type | Individual |
| Full Name | JACQUELINE GUTIERREZ |
| Practice Address |
5300 Angeles Vista Blvd View Park CA 90043-1648 |
| Practice Telephone | 3232954544 |
| Practice Fax Number | 3235080150 |
| Mailing Telephone | 3232954544 |
| Mailing Fax Number | 3235080150 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588142905 | Jacqueline Gutierrez | Specialist/Technologist | 2516 N 93rd Ct Apt 13, Omaha, NE 68134-5834 | 2018-07-30 |
| 1073090031 | Jacqueline Gutierrez | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2018-07-23 |
| 1841783347 | Jacqueline Gutierrez | Counselor | 2620 Industry Way, Lynwood, CA 90262 | 2018-06-08 |
| 1093247025 | Jacqueline Rose Gutierrez | Counselor | 11731 Telegraph Rd, Santa Fe Springs, CA 90670-3675 | 2017-03-29 |
| 1427437151 | Jacqueline Gutierrez | Student in an Organized Health Care Education/Training Program | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2015-05-27 |
| 1982930764 | Jacqueline Gutierrez | Counselor | 8928 Volunteer Ln Ste 100, Sacramento, CA 95826-3238 | 2009-10-28 |
| Street Address |
5300 ANGELES VISTA BLVD |
| City | VIEW PARK |
| State | CA |
| Zip Code | 90043-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645540 | Stephanie Alexandra Villatoro | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-10-01 |
| 1588275655 | Taija R Ziegenfuss | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-08-12 |
| 1871104901 | Regina Michele Terrones | Student in an Organized Health Care Education/Training Program | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-08-12 |
| 1356959647 | Elysia Leassear | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-07-22 |
| 1184249955 | Priscilla Doloksaribu | Social Worker | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-06-08 |
| 1881218881 | Jacqueline Oksana Yapkowitz | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-06-04 |
| 1588284749 | Cj C Dunnick | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-04-17 |
| 1114556693 | Ma. Celine Bettina Basa Dino | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-04-06 |
| 1386275105 | Ezell J Ruffin | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-01-30 |
| 1184254815 | Tyra Norwood | Marriage & Family Therapist | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-01-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| Find all providers in zip 90043 | ||||
| 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.