SCOTT FREDRICKSON (NPI# 1003149865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003149865 |
| Entity Type | Individual |
| Full Name | SCOTT FREDRICKSON |
| Practice Address |
203 W Cliffwood Ave Anaheim CA 92802-4816 |
| Practice Telephone | 7146242351 |
| Practice Fax Number | 7147712501 |
| Mailing Telephone | 7146242351 |
| Mailing Fax Number | 7147712501 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730409038 | Scott Eric Fredrickson | Pharmacist | 24224 Northwest Fwy, Cypress, TX 77429-5683 | 2010-06-09 |
| 1144420357 | Scott Hartley Fredrickson | Emergency Medicine | 144 S 500 E, Slc, UT 84102-1907 | 2007-07-25 |
| Street Address |
203 W CLIFFWOOD AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92802-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502446 | Riana Jessica Abadilla Ramos | Pharmacist | 1850 S. West Street, Anaheim, CA 92802 | 2020-09-10 |
| 1578102810 | Cristina King | Physician Assistant | 1850 S West Street, Anaheim, CA 92802 | 2020-01-03 |
| 1770009086 | Evangelina Sayre | Counselor | 535 S. Walnut St., Anaheim, CA 92802 | 2017-08-17 |
| 1962870634 | Paragon Compounding Pharmacy, Inc | Pharmacy | 1585 West Broadway Suite A, Anaheim, CA 92802 | 2015-09-11 |
| 1992118376 | Xia Li | Acupuncturist | 1640 W Ball Rd Apt 211, Anaheim, CA 92802 | 2014-06-03 |
| 1215208533 | Dyala D Nguyen | Pharmacist | 1848 S. Ninth St, Anaheim, CA 92802 | 2012-01-18 |
| 1548402597 | Tara Thuy Mai | Pharmacist | 2157 S Spinnaker St, Anaheim, CA 92802 | 2009-04-06 |
| 1710178827 | Florian Medical Clinic Inc. | Clinic/Center | 2090 S Euclid St #104, Anaheim, CA 92802 | 2007-08-05 |
| 1619192309 | Linda L. Schnaible | Marriage & Family Therapist | 1333 South Euclid Street, Anaheim, CA 92802 | 2007-04-16 |
| 1750505293 | Bt Morgan Dental Corp | Dentist | 2300 S. Harbor Blvd, Anaheim, CA 92802 | 2007-04-13 |
| Find all providers in zip 92802 | ||||
| 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 |
|---|---|---|---|---|
| 1598118622 | Childrens Bureau | Case Manager/Care Coordinator | 50 S Anaheim Blvd Ste 200, Anaheim, CA 92805-2961 | 2016-07-13 |
| 1285082750 | Diana Yezenia Medina | Case Manager/Care Coordinator | 50 South Anaheim Blvd, Suite 241, Anaheim, CA 92805-2961 | 2016-05-25 |
| 1639519671 | Karla Betancourt | Case Manager/Care Coordinator | 122 N Magnolia Ave, Apt 102, Anaheim, CA 92801-6470 | 2013-07-03 |
| 1598080483 | Cynthia Contreras | Case Manager/Care Coordinator | 1192 W Chateau Ave, Anaheim, CA 92802-1837 | 2010-04-02 |
| 1417286923 | Laura L Lieras | Case Manager/Care Coordinator | 1260 N Riviera St, Anaheim, CA 92801-2306 | 2009-12-11 |
| 1568791374 | Carlos A Torres | Case Manager/Care Coordinator | 341 E. Center St, Anaheim, CA 92805 | 2009-12-08 |
| 1962656124 | Nanette E Arroyo | Case Manager/Care Coordinator | 415 S Clementine St Apt 104, Anaheim, CA 92805-3823 | 2008-11-13 |
| 1740449115 | Lorna M Winterrowd | Case Manager/Care Coordinator | 1535 E Orangewood Ave, Anaheim, CA 92805-6824 | 2008-06-02 |
| 1174798961 | Gerardo Olivera | Case Manager/Care Coordinator | 341 E. Center Drive, Anaheim, CA 90201-3323 | 2008-04-23 |
| 1063683019 | Sara Nunez | Case Manager/Care Coordinator | 939 S Pepper St, Anaheim, CA 92802-1823 | 2008-03-18 |
| Find all providers in ANAHEIM | ||||
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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.