JOHN ANTHONY MEDELLIN


Address: 1200 Wilshire Blvd Ste 400, Los Angeles, CA 90017-1919
Phone: 2134817464

JOHN ANTHONY MEDELLIN (NPI# 1053951558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053951558
Entity Type Individual
Full Name JOHN ANTHONY MEDELLIN
Credential BS
Practice Address 1200 Wilshire Blvd Ste 400
Los Angeles
CA 90017-1919
Practice Telephone 2134817464
Practice Fax Number 2134817147
Mailing Telephone 2134817464
Mailing Fax Number 2134817147
Enumeration Date 2020-01-13
Last Update Date 2020-01-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator CA Other Service Providers

Office Location

Street Address 1200 WILSHIRE BLVD STE 400
City LOS ANGELES
State CA
Zip Code 90017-1919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528199916 Jose Antonio Zuany Marriage & Family Therapist 1200 Wilshire Blvd Ste 400, Los Angeles, CA 90017-1919 2007-03-08
1952909046 Joseline Guadalupe Alvarez Case Manager/Care Coordinator 1200 Wilshire Blvd Ste 400, Los Angeles, CA 90017-1919 2020-10-12
1699381020 Adriana Guadalupe Cruz Case Manager/Care Coordinator 1200 Wilshire Blvd Ste 400, Los Angeles, CA 90017-1919 2020-09-21
1053927475 Nayeli Maritza Sepulveda Marriage & Family Therapist 1200 Wilshire Blvd Ste 400, Los Angeles, CA 90017-1919 2020-09-21
1679186779 Cindy Jocelyn Garcia Student in an Organized Health Care Education/Training Program 1200 Wilshire Blvd Ste 400, Los Angeles, CA 90017-1919 2020-08-28
1972116234 Denise Alejandra Zelaya Student in an Organized Health Care Education/Training Program 1200 Wilshire Blvd Ste 400, Los Angeles, CA 90017-1919 2020-08-26
1467086991 Erica Martinez Social Worker 1200 Wilshire Blvd Ste 400, Los Angeles, CA 90017-1919 2020-02-24
1972135770 Emiliany Beatriz Vargas Counselor 1200 Wilshire Blvd Ste 400, Los Angeles, CA 90017-1919 2020-02-10
1861036709 Maydelli Mendoza Case Manager/Care Coordinator 1200 Wilshire Blvd Ste 400, Los Angeles, CA 90017-1919 2019-11-04
1437793379 Teresita Ramirez Case Manager/Care Coordinator 1200 Wilshire Blvd Ste 400, Los Angeles, CA 90017-1919 2019-11-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833617 Guadalupe Vallejo Licensed Vocational Nurse 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 2020-08-25
1376181768 Nirlok Corporation Optometrist 750 West 7th Street, Los Angeles, CA 90017 2019-12-16
1689228223 Marycarmen Beltran Student in an Organized Health Care Education/Training Program 333 S. Beaudry Ave., Los Angeles, CA 90017 2019-08-01
1639661465 Robin B Horowitz Counselor 333 South Beaudry Avenue, Los Angeles, CA 90017 2018-06-06
1710483797 Rose Jadidian Pharmacist 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 2018-03-30
1417469875 Marykarla Gallegos Case Manager/Care Coordinator 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 2017-10-25
1134646516 Maria Salas Rehabilitation Practitioner 333 S Beaudry Ave., Los Angeles, CA 90017 2017-08-25
1932638202 Butterfli Technologies Inc Transportation Broker 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 2017-06-08
1316493125 Phamily Love Foundation Community/Behavioral Health 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 2016-08-31
1215392188 Jessica R. Garcia-hillard Specialist/Technologist 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 2015-12-21
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285242594 Rocio Jimenez Case Manager/Care Coordinator 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 2020-07-22
1245855725 Ashley Ivette Berumen Case Manager/Care Coordinator 1900 W Slauson Ave, Los Angeles, CA 90047-1129 2020-06-10
1356965776 Jennifer Yanovski Case Manager/Care Coordinator 316 W 2nd St Ste 202, Los Angeles, CA 90012-3527 2020-06-01
1841820560 Kiara Imani Thomas Case Manager/Care Coordinator 226 E 103rd St, Los Angeles, CA 90003-4720 2020-01-22
1023648748 Christopher Rivas Case Manager/Care Coordinator 1410 N Kenmore Ave Apt 5, Los Angeles, CA 90027-5826 2020-01-22
1396383782 Candace Laolagi Case Manager/Care Coordinator 246 E 47th St, Los Angeles, CA 90011-3908 2019-12-16
1902448343 Aster Libasu Case Manager/Care Coordinator 2619 Wilshire Blvd Apt 1005, Los Angeles, CA 90057-3461 2019-10-16
1831749456 Jasmine Lynn Martinez Case Manager/Care Coordinator 6768 Lexington Ave, Los Angeles, CA 90038-1234 2019-09-16
1033762547 John Charles Gutierrez Case Manager/Care Coordinator 4265 S Normandie Ave, Los Angeles, CA 90037-2324 2019-07-23
1609429976 Vianey Colon Case Manager/Care Coordinator 11601 S Western Ave # O, Los Angeles, CA 90047-5006 2019-07-16
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Competitor

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City LOS ANGELES
Zip Code 90017

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Dataset Information

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.

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