WILLIAM CHARLES COMAN (NPI# 1104279991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104279991 |
| Entity Type | Individual |
| Full Name | WILLIAM CHARLES COMAN |
| Credential | CADC I |
| Practice Address |
23119 Cottonwood Ave Ste 100 Moreno Valley CA 92553-9661 |
| Practice Telephone | 9514135808 |
| Mailing Telephone | 5194135808 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CI15690518 | CA | Behavioral Health & Social Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
23119 COTTONWOOD AVE STE 100 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-9661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831505452 | Damien David Diaz | Marriage & Family Therapist | 23119 Cottonwood Ave Ste 100, Moreno Valley, CA 92553-9661 | 2014-07-02 |
| 1093251779 | Kehau Kalani Kuala Gilbert | Social Worker | 23119 Cottonwood Ave Ste 100, Moreno Valley, CA 92553 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| 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 |
|---|---|---|---|---|
| 1255942462 | Arlette Rodriguez | Case Manager/Care Coordinator | 22445 Alessandro Blvd Ste 113114no, Moreno Valley, CA 92553-8358 | 2020-08-11 |
| 1609368554 | Elizabeth Worthington | Case Manager/Care Coordinator | 22850 Calle San Juan De Los Lagos, Moreno Valley, CA 92553-9045 | 2018-06-05 |
| 1649787250 | Ashley Irene Eufers | Case Manager/Care Coordinator | 12625 Heacock St, Moreno Valley, CA 92553-0538 | 2018-01-04 |
| 1003335373 | David Wakter Jones | Case Manager/Care Coordinator | 29019 Carillo Ct, Moreno Valley, CA 92555-6501 | 2017-09-18 |
| 1851757504 | Tonae Nolley | Case Manager/Care Coordinator | 24512 Tuscarora Cir, Moreno Valley, CA 92553-5818 | 2016-01-11 |
| 1689931040 | Navkiranjit Kaur Gill | Case Manager/Care Coordinator | 13000 Heacock St, Ste C236, Moreno Valley, CA 92553 | 2012-04-23 |
| 1649546524 | Nkeiruka Lauren Thompson | Case Manager/Care Coordinator | 14327 Frederick St, Moreno Valley, CA 92553 | 2012-03-26 |
| 1871877696 | Maribel Padilla | Case Manager/Care Coordinator | 23119 Cottonwood Ave Bldg A Suite110, Moreno Valley, CA 92553 | 2011-09-29 |
| 1447496096 | Vivian Chukwuemeka | Case Manager/Care Coordinator | 13800 Heacock St, Ste. C236, Moreno Valley, CA 92553 | 2009-01-05 |
| 1750982534 | Jaylene Alicia Gomez | Case Manager/Care Coordinator | 22445 Alessandro Blvd # 113-114, Moreno Valley, CA 92553-8358 | 2020-11-06 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on WILLIAM CHARLES COMAN.
| 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.