JOSE MIGUEL REVELO (NPI# 1902418767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902418767 |
| Entity Type | Individual |
| Full Name | JOSE MIGUEL REVELO |
| Practice Address |
1300 W Florida Ave Ste B Hemet CA 92543-4628 |
| Practice Telephone | 9513792320 |
| Mailing Telephone | 9513792320 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| Street Address |
1300 W FLORIDA AVE STE B |
| City | HEMET |
| State | CA |
| Zip Code | 92543-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114434917 | Maria Haritopoulos | Marriage & Family Therapist | 1300 W Florida Ave Ste B, Hemet, CA 92543-4628 | 2018-01-03 |
| 1760011753 | Norma A. Estrada | Marriage & Family Therapist | 1300 W Florida Ave Ste B, Hemet, CA 92543-4628 | 2020-04-02 |
| 1922560879 | Institute for Family Centered Services Inc. | Community/Behavioral Health | 1300 W Florida Ave Ste B, Hemet, CA 92543-4628 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565801 | Ada Maria P Benson | In Home Supportive Care | 235 S. Lyon, Hemet, CA 92543 | 2019-12-13 |
| 1336790963 | Lorilea Paige Williams | Family Medicine | Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 | 2019-09-25 |
| 1760954291 | Pacifica Sl Hemet LLC | Alzheimer Center (Dementia Center) | 1177 South Palm Avenue, Hemet, CA 92543 | 2018-12-21 |
| 1902381080 | Quan Uyen Truong | Counselor | 1105 E. Florida Ave, Hemet, CA 92543 | 2018-09-25 |
| 1013404318 | Kyle Ransom | Student in an Organized Health Care Education/Training Program | Hemet Valley Medical Center, 1117 East Devonshire Ave, Hemet, CA 92543 | 2018-04-23 |
| 1851838817 | New Hope Christian Counseling Foundation, Inc | Community/Behavioral Health | 464 S Palm Ave Ste C-d, Hemet, CA 92543 | 2017-01-27 |
| 1154873909 | Aliuddin Khaja, Md., Inc | Psychiatry & Neurology | 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 | 2016-10-27 |
| 1891140265 | Roshan Razavi | Family Medicine | 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | 2016-05-04 |
| 1699177048 | Douglas Trent Jepson | Dentist | 810 Saint John Place, Suite C, Hemet, CA 92543 | 2014-09-17 |
| 1205244837 | Hemet Dental Clinic | Clinic/Center | 940 E Morton Pl, Hemet, CA 92543 | 2014-07-28 |
| Find all providers in zip 92543 | ||||
| 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 |
|---|---|---|---|---|
| 1033760525 | Christina Michelle Campos | Case Manager/Care Coordinator | 601 N Kirby St Spc 115, Hemet, CA 92545-5916 | 2019-09-25 |
| 1538605662 | Billology Medical Center | Case Manager/Care Coordinator | 133 Elmwood Ave, Hemet, CA 92543-5937 | 2017-01-12 |
| 1306044151 | Maria Trinidad Padilla | Case Manager/Care Coordinator | 42198 Crest Dr, Hemet, CA 92544-8455 | 2007-07-03 |
| 1356900310 | Laty Shermaine Banks | Case Manager/Care Coordinator | 1300 W Florida Ave, Hemet, CA 92543-4612 | 2019-06-12 |
| 1245724699 | Edward Berrios | Case Manager/Care Coordinator | 1001 S State St Ste A, Hemet, CA 92543-7188 | 2018-06-19 |
| 1679972657 | Bear Warrick-west | Case Manager/Care Coordinator | 650 N State St, Hemet, CA 92543-2960 | 2014-08-15 |
| 1447536495 | Cheryl Ann Buckner | Case Manager/Care Coordinator | 650 N State St, Hemet, CA 92543-2960 | 2011-10-21 |
| 1356591697 | Jennifer June White | Case Manager/Care Coordinator | 650 N State St, Hemet, CA 92543-2960 | 2008-09-23 |
| 1659562064 | Dimpa Teresa Long | Case Manager/Care Coordinator | 650 N State St, Hemet, CA 92543-2960 | 2007-08-09 |
| 1720293988 | Stephanie Olsen Williams I | Case Manager/Care Coordinator | 950 N State St, Ste.a, Hemet, CA 92543-1485 | 2007-05-11 |
| Find all providers in HEMET | ||||
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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.