MR. JUAN CARLOS TERAN JR. (NPI# 1083747604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083747604 |
| Entity Type | Individual |
| Full Name | MR. JUAN CARLOS TERAN JR. |
| Practice Address |
1620 Cummins Dr Modesto CA 95358 |
| Mailing Address |
1620 Cummins Dr Modesto CA 95358-6400 |
| Practice Telephone | 2095761750 |
| Mailing Telephone | 2095761750 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2018-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346294691 | Juan Carlos Teran | Internal Medicine | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2006-05-20 |
| Street Address |
1620 CUMMINS DR |
| City | MODESTO |
| State | CA |
| Zip Code | 95358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265565089 | Cathy Lynn Abbott | Marriage & Family Therapist | 1620 Cummins Dr, Modesto, CA 95358-6400 | 2007-03-13 |
| 1790391068 | Maria Isabel Ramos Martinez | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358-6400 | 2020-09-21 |
| 1265040315 | Maria Ester Barajas | Counselor | 1620 Cummins Dr, Modesto, CA 95358-6400 | 2020-07-15 |
| 1598382764 | Christian Alexis Antonio | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358-6400 | 2020-07-02 |
| 1285263293 | Berenice Sanchez | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358-6400 | 2020-04-02 |
| 1376178293 | Amber Lynn Crabtree | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358-6400 | 2020-03-11 |
| 1609401488 | Dennis Gonzalez | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358-6400 | 2020-03-11 |
| 1205486057 | Jessica Mora | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358-6400 | 2019-09-13 |
| 1639722820 | Lorraine Mcgahee Washington | Social Worker | 1620 Cummins Dr, Modesto, CA 95358-6400 | 2019-07-17 |
| 1205488673 | Jamie Husain | Social Worker | 1620 Cummins Dr, Modesto, CA 95358-6400 | 2019-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902321805 | Cecilia Yolanda Guajardo | Counselor | 2524 Finney Road, Ceres, CA 95358 | 2017-08-11 |
| 1205203049 | Olga Olivia Castillo | Case Manager/Care Coordinator | 1620 Cummings Rd, Modesto, CA 95358 | 2015-08-27 |
| 1174942270 | Rajneel Singh | Case Manager/Care Coordinator | 1524 Radcliffe Ave, Modesto, CA 95358 | 2014-04-16 |
| 1447486139 | Karl David Meabrod | Counselor | 190 E. Hackett Rd., Modesto, CA 95358 | 2009-06-08 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1134250400 | Shelley Marie Southern | Marriage & Family Therapist | 1620 Cummins Drive, Modesto, CA 95358 | 2007-03-08 |
| 1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
| 1508250135 | Michelle Eldridge | Case Manager/Care Coordinator | 1620 Cummins Drive, Modesto, CA 95358 | 2015-03-20 |
| 1134411309 | Jessica L Flores | Licensed Vocational Nurse | 1520 Swarthmore Dr, Modesto, CA 95358-1049 | 2011-05-06 |
| 1710012489 | Keri Berbena Rodgers | Registered Nurse | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2007-02-22 |
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| 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 |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1154948149 | Lauren N Zampieri | Case Manager/Care Coordinator | 1706 Sandalwood Dr, Modesto, CA 95350-3819 | 2020-06-25 |
| 1487271474 | Jonathan Reinke | Case Manager/Care Coordinator | 605 E Coolidge Ave Apt 21, Modesto, CA 95350-4591 | 2020-06-25 |
| 1699395871 | Andrea Valencia | Case Manager/Care Coordinator | 1095 Carver Rd Unit 213, Modesto, CA 95350-7705 | 2020-04-17 |
| 1649806373 | Harshil Girn | Case Manager/Care Coordinator | 2628 Medinah Ct, Modesto, CA 95355-9666 | 2020-03-13 |
| 1932740693 | Jennifer Rogers | Case Manager/Care Coordinator | 525 S Jefferson St, Modesto, CA 95351-2708 | 2019-10-03 |
| 1710543152 | Nina Lajeen | Case Manager/Care Coordinator | 2109 Norik Dr, Modesto, CA 95355-9155 | 2019-05-10 |
| 1629631106 | Jayne Sharon Nunes | Case Manager/Care Coordinator | 800 Scenic Dr Bldg B, Modesto, CA 95350-6131 | 2019-04-19 |
| 1467937789 | Danica Freitas | Case Manager/Care Coordinator | 4008 Nugget Dr, Modesto, CA 95355-9526 | 2018-10-02 |
| 1538664321 | Melonie Johnson | Case Manager/Care Coordinator | 4417 Crestmont Way, Modesto, CA 95356-9343 | 2018-03-26 |
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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.