SANDRA M GROSS (NPI# 1043691512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043691512 |
| Entity Type | Individual |
| Full Name | SANDRA M GROSS |
| Practice Address |
1322 N Avalon Blvd Wilmington CA 90744-2639 |
| Mailing Address |
3658 Louise St Lynwood CA 90262-4334 |
| Practice Telephone | 3105131300 |
| Mailing Telephone | 2137426250 |
| Mailing Fax Number | 2137426312 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 1740837129 | Sandra Gross | Physical Therapist | 872 E Main St, Bridgewater, NJ 08807-3395 | 2019-08-21 |
| Street Address |
1322 N AVALON BLVD |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972669257 | Aegis Treatment Centers, LLC | Clinic/Center | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2006-12-29 |
| 1225635774 | Kailisha Foreman | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2020-10-07 |
| 1811507288 | Yanett Romero | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744 | 2020-07-31 |
| 1134769201 | Aiysha Jenkins | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2020-01-07 |
| 1902453079 | Joann Dumas | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-22 |
| 1114573888 | Jasmina De Jesus Valdivia | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-17 |
| 1801442892 | Marilyn Denise Smith | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-14 |
| 1649823766 | Karryn Gray-harris | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-07-17 |
| 1114587466 | Rocio Gomez | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-06-19 |
| 1932673258 | Elizabeth Quezada | Counselor | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-01-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| 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 |
|---|---|---|---|---|
| 1487288668 | Pamela Sue Whalen | Case Manager/Care Coordinator | 602 S South St, Wilmington, OH 45177-2791 | 2020-02-27 |
| 1871157636 | Marsha Weatherly | Case Manager/Care Coordinator | 4209b Whitehurst Dr, Wilmington, NC 28409-4857 | 2019-04-26 |
| 1427511609 | Mark Anthony Mason | Case Manager/Care Coordinator | 836 N Dupont St, Wilmington, DE 19805-5327 | 2019-04-13 |
| 1447739677 | Frederick Dontae Coleman-leopold | Case Manager/Care Coordinator | 24505 S Avalon Blvd #12, Wilmington, CA 90744-9074 | 2018-08-08 |
| 1639674344 | David Lee Mcelwee | Case Manager/Care Coordinator | 1422 Fresno Rd, Wilmington, DE 19803-5122 | 2018-03-26 |
| 1306395066 | Minnie Prentice | Case Manager/Care Coordinator | 1908 Castle St, Wilmington, NC 28403-2106 | 2016-09-22 |
| 1902203219 | Lindsey Callahan | Case Manager/Care Coordinator | 275 Thorne Ave, Wilmington, OH 45177-1217 | 2014-12-02 |
| 1316230584 | Lynne Marie Trayers | Case Manager/Care Coordinator | 15 Marion St, Wilmington, MA 01887-3131 | 2011-05-22 |
| 1902108681 | Stephanie Neubauer | Case Manager/Care Coordinator | 3904 Oleander Dr Ste 102, Wilmington, NC 28403-6735 | 2010-12-01 |
| 1427371582 | Robert Earl Firestone | Case Manager/Care Coordinator | 4715b Market St, Wilmington, NC 28405-3423 | 2010-03-03 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 90744 |
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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.