VAN DAVID PORTLOCK (NPI# 1114153012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114153012 |
| Entity Type | Individual |
| Full Name | VAN DAVID PORTLOCK |
| Practice Address |
730 Eddy St Room 204 San Francisco CA 94109-7846 |
| Practice Telephone | 4153535655 |
| Practice Fax Number | 4156731266 |
| Mailing Telephone | 4153535655 |
| Mailing Fax Number | 4156731266 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |
| 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 |
| Street Address |
730 EDDY ST ROOM 204 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94109-7846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169738 | Emmapreet Bal | Social Worker | 750 Post Street, San Francisco, CA 94109 | 2020-09-21 |
| 1801414669 | Hegla Yakeline Fielding | Registered Nurse | Felton Institute, 1500 Franklin St, San Francisco, CA 94109 | 2020-07-08 |
| 1356991350 | Rachel Sit Wong | Technician | 1280 Ellis St. Apt. 12, San Francisco, CA 94109 | 2019-09-12 |
| 1396392502 | Laura Kathryn Strader | Student in an Organized Health Care Education/Training Program | Community Youth Center, 1038 Post Street, San Francisco, CA 94109 | 2019-08-22 |
| 1821650227 | Anita Kathleen O'shea | Community Health Worker | 730 Polk St 4th Floor, San Francisco, CA 94109 | 2019-07-05 |
| 1275015638 | Quenna G Lee | Occupational Therapist | 1948 California Street, San Francisco, CA 94109 | 2018-09-02 |
| 1659857340 | Kaihan Zhong | Marriage & Family Therapist | 1038 Post Street Community Youth Center, San Francisco, CA 94109 | 2018-07-16 |
| 1144716044 | Elaina Barulic | Marriage & Family Therapist | 2040 Gough St, San Francisco, CA 94109 | 2018-07-03 |
| 1447778048 | Yltze Pamela Cubas-moody | Dentist | 2107 Vanness Ave, San Francisco, CA 94109 | 2017-09-03 |
| 1063939387 | Ritu Sen | Counselor | 815 Hyde Street, Suite 100, San Francisco, CA 94109 | 2017-08-28 |
| Find all providers in zip 94109 | ||||
| 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 |
|---|---|---|---|---|
| 1124685169 | Joseph William Jasser, M.d., Medical Corporation | Case Manager/Care Coordinator | 505 Montgomery St Fl 11, San Francisco, CA 94111-2585 | 2019-05-24 |
| 1053784132 | Annie Pham | Case Manager/Care Coordinator | 562 37th Ave Apt 2, San Francisco, CA 94121-2656 | 2015-11-11 |
| 1235532102 | Maureen Rees | Case Manager/Care Coordinator | 201 Third Street, 7th Floor, San Francisco, CA 94103 | 2014-10-06 |
| 1821341215 | Reymundo Espinoza | Case Manager/Care Coordinator | 445 Hampshire St, San Francisco, CA 94110-1416 | 2012-10-22 |
| 1689921173 | Susan Au | Case Manager/Care Coordinator | 30 Mason St, Apt 702, San Francisco, CA 94102-2899 | 2012-08-14 |
| 1336495316 | Sierra Simone Anderson Ross IIi | Case Manager/Care Coordinator | 472 Turk St, San Francisco, CA 94102-3330 | 2012-07-27 |
| 1871866079 | Kelly Castel | Case Manager/Care Coordinator | 333 Valencia St Ste 240, 415-503-1046 Main Number, San Francisco, CA 94103-3547 | 2012-02-17 |
| 1861771933 | Patricia O'connor | Case Manager/Care Coordinator | 201 3rd St Fl 7, San Francisco, CA 94103-3146 | 2011-08-08 |
| 1760618805 | Linda Kay Duncan | Case Manager/Care Coordinator | 730 Eddy St Apt 205, San Francisco, CA 94109-7847 | 2009-06-03 |
| 1841426020 | Irma E Parada | Case Manager/Care Coordinator | 520 Jones St, San Francisco, CA 94102-2008 | 2009-06-02 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94109 |
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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.