MRS. DESERINE EDWINA GRAZE (NPI# 1972634103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972634103 |
| Entity Type | Individual |
| Full Name | MRS. DESERINE EDWINA GRAZE |
| Practice Address |
1935 Kidder Avenue Assist Solano Outpatient Services Fairfield CA 94533-3919 |
| Mailing Address |
2001 The Alameda Alliance for Community Care San Jose CA 95126-1136 |
| Practice Telephone | 7074252741 |
| Practice Fax Number | 7074252862 |
| Mailing Telephone | 4082617777 |
| Mailing Fax Number | 4082549960 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| 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 |
| Street Address |
1935 KIDDER AVENUE ASSIST SOLANO OUTPATIENT SERVICES |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982740965 | Lora Lynne Gordon | Case Manager/Care Coordinator | 1935 Kidder Avenue, Assist Solano Outpatient Services, Fairfield, CA 94533-3919 | 2007-01-29 |
| 1710029061 | Loretta Ogechi Iwu | Case Manager/Care Coordinator | 1935 Kidder Avenue, A S S I S T Solano Outpatient Services, Fairfield, CA 94533-3919 | 2007-02-13 |
| 1316083389 | Billy Frank Ellis Jr. | Case Manager/Care Coordinator | 1935 Kidder Avenue, Assist Solano Outpatient Services, Fairfield, CA 94533-3919 | 2007-01-29 |
| 1558407536 | Marilee Clemons | Marriage & Family Therapist | 1935 Kidder Avenue, Assist Solano Outpatient Services, Fairfield, CA 94533-3919 | 2007-01-29 |
| 1639215619 | Elizabeth Josephine Orozco | Case Manager/Care Coordinator | 1935 Kidder Avenue, Assist Solano Outpatient Services, Fairfield, CA 94533-3919 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| 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 |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1467915421 | Rolanda Flowers | Case Manager/Care Coordinator | 24 Fawn Dr Apt 103, Fairfield, OH 45014-6137 | 2019-04-08 |
| 1417402561 | Donna Huizar | Case Manager/Care Coordinator | 1920 Grande Cir, 91, Fairfield, CA 94533-4238 | 2016-08-18 |
| 1306215108 | Wayne Adams | Case Manager/Care Coordinator | 1306 Kansas St, Fairfield, CA 94533-4710 | 2015-09-22 |
| 1750787883 | Chelsey Parker | Case Manager/Care Coordinator | 1395 Symmes Road Apt A, Fairfield, OH 45014 | 2014-11-18 |
| 1861734451 | Kathryn Elaine Ouwerkerk | Case Manager/Care Coordinator | 6975 Dixie Hwy Ste A, Fairfield, OH 45014-5431 | 2013-03-21 |
| 1104059278 | Jo-ann A Morin | Case Manager/Care Coordinator | 130 Horn Hill Rd, Fairfield, ME 04937-3029 | 2009-08-24 |
| 1982740965 | Lora Lynne Gordon | Case Manager/Care Coordinator | 1935 Kidder Avenue, Assist Solano Outpatient Services, Fairfield, CA 94533-3919 | 2007-01-29 |
| 1225643232 | Amber R Habig | Case Manager/Care Coordinator | 1020 Symmes Rd, Fairfield, OH 45014-1844 | 2020-09-15 |
| 1790390623 | Morgan Isabel Swoger | Case Manager/Care Coordinator | 5966 Boymel Dr, Fairfield, OH 45014-5526 | 2020-09-08 |
| Find all providers in FAIRFIELD | ||||
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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.