EDGAR CANADA (NPI# 1932611811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932611811 |
| Entity Type | Individual |
| Full Name | EDGAR CANADA |
| Practice Address |
409 N Main St Porterville CA 93257-2336 |
| Practice Telephone | 5597840312 |
| Mailing Telephone | 5597840312 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801826003 | Edgar D. Canada | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2006-07-03 |
| Street Address |
409 N MAIN ST |
| City | PORTERVILLE |
| State | CA |
| Zip Code | 93257-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285004911 | Adriana Sanchez | Case Manager/Care Coordinator | 409 N Main St, Porterville, CA 93257-2336 | 2015-10-07 |
| 1932581352 | Kimberly Rivera Flores | Case Manager/Care Coordinator | 409 N Main St, Porterville, CA 93257-2336 | 2015-06-22 |
| 1699117648 | Kings View One Stop | Case Management | 409 N Main St, Porterville, CA 93257-2336 | 2013-07-18 |
| 1801237144 | Kimberly Cole | Student in an Organized Health Care Education/Training Program | 409 N Main St, Porterville, CA 93257-2336 | 2013-07-15 |
| 1982611968 | Evan Lyle Maw | Social Worker | 409 N Main St, Porterville, CA 93257-2336 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140727 | Marilu Lemos | Student in an Organized Health Care Education/Training Program | 1055 W. Henderson Ave, Suite 2, Porterville, CA 93257 | 2020-06-30 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1639704182 | Ria Mehta | Occupational Therapist | Sierra Valley Rehab Center, 301 W Putnam Avenue, Porterville, CA 93257 | 2020-03-05 |
| 1659928653 | Jennifer Ramirez | Technician | 1166 San Carlos St, Porterville, CA 93257 | 2019-08-23 |
| 1053875484 | Family Healthcare Network | Clinic/Center | 65 N. Hockett St., Porterville, CA 93257 | 2019-01-30 |
| 1679065189 | William Vanlandingham | Health Educator | 333 W Henderson Ave, Porterville, CA 93257 | 2018-05-31 |
| 1982111209 | Samantha Kaitlyn Crowley | Counselor | 117 W Henderson Ave Ste 1, Porterville, CA 93257 | 2018-01-08 |
| 1538688023 | Jason Reyes | Physician Assistant | 305 E Poplar Ave, Porterville, CA 93257 | 2017-09-15 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1467998849 | Justine Hallas | Nurse Practitioner | 590 Putnam Ave, Porterville, CA 93257 | 2017-01-10 |
| Find all providers in zip 93257 | ||||
| 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 |
|---|---|---|---|---|
| 1508486457 | Rosa Maria Zavala Hernandez | Case Manager/Care Coordinator | 1055 W Henderson Ave, Porterville, CA 93257-1490 | 2020-04-21 |
| 1972138006 | Mariela Tapia | Case Manager/Care Coordinator | 177 W Henderson Ave Ste 1, Porterville, CA 93257-1777 | 2020-03-09 |
| 1326681537 | Melinda La Dawn Tandy | Case Manager/Care Coordinator | 1055 W Henderson Ave Ste 2, Porterville, CA 93257-1490 | 2019-10-21 |
| 1477194652 | Anita Bivian | Case Manager/Care Coordinator | 1055 W Henderson Ave Ste 2, Porterville, CA 93257-1490 | 2019-09-30 |
| 1558911958 | Elizabeth Diaz | Case Manager/Care Coordinator | 177 W Henderson Ave Ste 1, Porterville, CA 93257-1777 | 2019-09-17 |
| 1144789926 | Zaida Loraine Elias | Case Manager/Care Coordinator | 177 N Main St, Porterville, CA 93257-3734 | 2019-03-19 |
| 1184197352 | Berenice Torres | Case Manager/Care Coordinator | 177 W Henderson Ave Ste 1, Porterville, CA 93257-1777 | 2019-01-09 |
| 1992245211 | Nohemi Contreras | Case Manager/Care Coordinator | 1055 W Henderson Ave Ste 2, Porterville, CA 93257-1490 | 2017-03-06 |
| 1285004911 | Adriana Sanchez | Case Manager/Care Coordinator | 409 N Main St, Porterville, CA 93257-2336 | 2015-10-07 |
| 1932581352 | Kimberly Rivera Flores | Case Manager/Care Coordinator | 409 N Main St, Porterville, CA 93257-2336 | 2015-06-22 |
| Find all providers in PORTERVILLE | ||||
| City | PORTERVILLE |
| Zip Code | 93257 |
Please comment or provide details below to improve the information on EDGAR CANADA.
| 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.