VAN DAVID HUDSON JR. (NPI# 1881166254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881166254 |
| Entity Type | Individual |
| Full Name | VAN DAVID HUDSON JR. |
| Practice Address |
12440 Firestone Blvd Norwalk CA 90650-4328 |
| Practice Telephone | 5628467821 |
| Mailing Telephone | 5628467821 |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |
| Gender Code | M |
| 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 |
12440 FIRESTONE BLVD |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-4328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063465557 | A & T Healthcare Services, Inc. | Home Health | 12440 Firestone Blvd, Ste 240, Norwalk, CA 90650-4328 | 2006-05-18 |
| 1811598824 | Alicia Gutierrez | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-11-05 |
| 1477168649 | Juan Santillan | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-09-14 |
| 1356959928 | Kourtney Benson | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-07-20 |
| 1114542180 | Katelyn Hazel Avila | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-06-15 |
| 1205463122 | Violet Gonzalez | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-03-23 |
| 1972136778 | Dennisse Rosas | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-02-20 |
| 1295386837 | Jason Marc Dubois | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2019-09-25 |
| 1417509878 | Brandon J Grant | Nurse Practitioner | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2019-07-15 |
| 1588138689 | Elizama Sigala | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2019-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| 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 |
|---|---|---|---|---|
| 1578195194 | Norma Franco | Case Manager/Care Coordinator | 13008 Rosecrans Ave, Norwalk, CA 90650-4551 | 2020-02-11 |
| 1992240188 | Alma Brown | Case Manager/Care Coordinator | 13319 Volunteer Ave, Norwalk, CA 90650-3125 | 2016-12-27 |
| 1861871006 | Smret Berhe | Case Manager/Care Coordinator | 12400 Imperial Hwy, Norwalk, CA 90650-3134 | 2015-05-20 |
| 1255473971 | Abby Hotchkiss | Case Manager/Care Coordinator | 12440 Firstone Blvd, # 3025, Norwalk, CA 90650 | 2007-02-12 |
| 1396810354 | Melvin Andrew Files | Case Manager/Care Coordinator | 12353 E Imperial Hwy, Norwalk, CA 90650 | 2006-11-22 |
| 1811598824 | Alicia Gutierrez | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-11-05 |
| 1811503220 | Kimberly Pacheco | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-09-21 |
| 1316558810 | Andrea Catherine Pappas | Case Manager/Care Coordinator | 292 Benedict Ave, Norwalk, OH 44857-2374 | 2020-08-10 |
| 1982215463 | Mackenzie Watkins | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-08-10 |
| 1235740713 | Sergio I Osorio | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-08-10 |
| Find all providers in NORWALK | ||||
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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.