MARIO BERMUDEZ (NPI# 1972095925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972095925 |
| Entity Type | Individual |
| Full Name | MARIO BERMUDEZ |
| Practice Address |
1330 S State St San Jacinto CA 92583-4942 |
| Practice Telephone | 9514872650 |
| Mailing Telephone | 9517912144 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| 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 |
1330 S STATE ST |
| City | SAN JACINTO |
| State | CA |
| Zip Code | 92583-4942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033178546 | Renal Treatment Centers California Inc | Clinic/Center | 1330 S State St, Ste B, San Jacinto, CA 92583-4916 | 2006-03-22 |
| 1679066302 | Jerrondralyn Beltran | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-07 |
| 1508358367 | Gloria Stephanie Medina | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-06 |
| 1538651476 | Christina Campuzano | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-06 |
| 1023500964 | Cesar Munoz | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-06 |
| 1598257404 | Erica Smith | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-06 |
| 1770075624 | Samantha Domingue | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-05 |
| 1780176644 | Zarah Slay | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-05 |
| 1538651484 | Eddie Vela | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-05 |
| 1497247340 | Travis Wayne Zmotony | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459615 | Walgreen Co | Pharmacy | 23335 Soboba Rd, San Jacinto, CA 92583 | 2020-08-26 |
| 1295399632 | Suhaila Mahjabeen Arif | Student in an Organized Health Care Education/Training Program | 651 North State Street, San Jacinto, CA 92583 | 2019-04-30 |
| 1083146328 | United Family Pharmacy, LLC | Pharmacy | 1221 S. San Jacinto Ave, San Jacinto, CA 92583 | 2017-03-28 |
| 1699127118 | Matthew Siragusa | Dental Assistant | 792 Salinger Pl, San Jacinto, CA 92583 | 2016-07-08 |
| 1326431966 | Empire Mobility | Durable Medical Equipment & Medical Supplies | 1499 Old Mountain Ave, Spc127, San Jacinto, CA 92583 | 2015-03-06 |
| 1598102485 | Ribhi A Hamad | Pharmacist | 1181 N Sate St, San Jacinto, CA 92583 | 2013-05-31 |
| 1770831489 | Neelam Gupta M.d. Inc. | Clinic/Center | 343 E Main Street, 106, San Jacinto, CA 92583 | 2012-08-28 |
| 1407154040 | Elizabeth Santillana Contla | Registered Nurse | 1370 S. State Street, Ste B, San Jacinto, CA 92583 | 2011-03-07 |
| 1902125636 | Tonnette Na Ellis | Counselor | 1854 Hemet St, San Jacinto, CA 92583 | 2010-05-20 |
| 1851525315 | Lydia Meria Reece | Physician Assistant | 229 West 7th Street, San Jacinto, CA 92583 | 2009-05-12 |
| Find all providers in zip 92583 | ||||
| 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 |
|---|---|---|---|---|
| 1831737337 | Evelyn J Ortega | Case Manager/Care Coordinator | 455 E 7th St Spc 16, San Jacinto, CA 92583-4802 | 2019-12-15 |
| 1205137031 | Stephanie Kay Hakker | Case Manager/Care Coordinator | 1370 S State St Ste B, San Jacinto, CA 92583-4916 | 2010-11-10 |
| 1063638955 | Jessica Fumanti | Case Manager/Care Coordinator | 1370 S State St # B, San Jacinto, CA 92583-4933 | 2007-04-18 |
| 1679066302 | Jerrondralyn Beltran | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-07 |
| 1508358367 | Gloria Stephanie Medina | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-06 |
| 1538651476 | Christina Campuzano | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-06 |
| 1023500964 | Cesar Munoz | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-06 |
| 1598257404 | Erica Smith | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-06 |
| 1770075624 | Samantha Domingue | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-05 |
| 1780176644 | Zarah Slay | Case Manager/Care Coordinator | 1330 S State St, San Jacinto, CA 92583-4942 | 2018-06-05 |
| Find all providers in SAN JACINTO | ||||
| City | SAN JACINTO |
| Zip Code | 92583 |
Please comment or provide details below to improve the information on MARIO BERMUDEZ.
| 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.