PAMELA RENEE PROHOROFF (NPI# 1134561160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134561160 |
| Entity Type | Individual |
| Full Name | PAMELA RENEE PROHOROFF |
| Practice Address |
10717 Camino Ruiz Suite 207 San Diego CA 92126-2360 |
| Practice Telephone | 8586952211 |
| Practice Fax Number | 8586953521 |
| Mailing Telephone | 8586952211 |
| Mailing Fax Number | 8586953521 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
10717 CAMINO RUIZ SUITE 207 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92126-2360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225019227 | Harmonium | Psychologist | 10717 Camino Ruiz, Suite 104, San Diego, CA 92126-2360 | 2005-11-08 |
| 1255860524 | Tamara Rice | Counselor | 10717 Camino Ruiz, San Diego, CA 92126-2360 | 2017-06-08 |
| 1972999662 | Andrea Bolinger | Counselor | 10717 Camino Ruiz, Ste 207, San Diego, CA 92126-2360 | 2015-04-09 |
| 1083006332 | Emmily Jo Weldon | Counselor | 10717 Camino Ruiz, #207, San Diego, CA 92126-7102 | 2015-02-24 |
| 1407258064 | Elizabeth Ann Ortiz | Counselor | 10717 Camino Ruiz, Suite 207, San Diego, CA 92126-2360 | 2014-09-25 |
| 1790193290 | Adlyn Marie Perez-figueroa | Student in an Organized Health Care Education/Training Program | 10717 Camino Ruiz, Ste. #207, San Diego, CA 92126-2360 | 2014-07-28 |
| 1124434154 | April Christean Villavicencio | Counselor | 10717 Camino Ruiz, San Diego, CA 92126-2360 | 2014-07-10 |
| 1013337138 | Michelle Majo Dds, Inc | Dentist | 10717 Camino Ruiz, Suite 150, San Diego, CA 92126 | 2014-04-16 |
| 1346583069 | Z.e.s Cuisia Dds Inc. A Professional Corporation | Dentist | 10717 Camino Ruiz, 103, San Diego, CA 92126-2360 | 2013-04-01 |
| 1922348572 | Brent V Jensen | Case Manager/Care Coordinator | 10717 Camino Ruiz, Suite 207, San Diego, CA 92126-2360 | 2013-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1811450935 | Anne Phabmixay | Student in an Organized Health Care Education/Training Program | Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 | 2019-04-08 |
| 1679035588 | Emily Nguyen | Registered Nurse | 8210 Elston Place, San Diego, CA 92126 | 2019-04-01 |
| 1558832139 | Dana Douglas-hiley | Speech-Language Pathologist | 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 | 2018-12-08 |
| 1275022873 | Breeann Nicole Poulson | Speech-Language Pathologist | 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 | 2018-05-09 |
| 1659878882 | My Phuong Thi Phan | Registered Nurse | 10938 Hyades Way, San Diego, CA 92126 | 2018-04-13 |
| 1083132153 | Ruth Tamar Morales | Occupational Therapist | Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 | 2017-09-08 |
| 1487184339 | Chelsea Irene Johnson | Marriage & Family Therapist | 8670 New Salem St. Unit 106, San Diego, CA 92126 | 2017-06-14 |
| 1336508506 | Brenda L. Bebal | Nurse Practitioner | 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 | 2016-02-17 |
| 1700245099 | Naval Medical Center San Diego | Pharmacy | Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 | 2016-02-16 |
| Find all providers in zip 92126 | ||||
| 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 |
|---|---|---|---|---|
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1770105439 | Timothy Mccloud | Case Manager/Care Coordinator | 6160 Mission Gorge Rd # 108, San Diego, CA 92120-3410 | 2020-05-15 |
| 1043846272 | Daniel Rafael Martinez | Case Manager/Care Coordinator | 8825 Aero Dr Ste 305, San Diego, CA 92123-2270 | 2020-03-19 |
| 1043844376 | Ariel A Anderson | Case Manager/Care Coordinator | 8501 Larkdale Ave, San Diego, CA 92123-2047 | 2020-02-25 |
| 1124664818 | Sarah Milan | Case Manager/Care Coordinator | 1846 30th St Apt A, San Diego, CA 92102-1145 | 2019-11-18 |
| 1750930814 | Christine Guianne Mupas Ramos | Case Manager/Care Coordinator | 1660 Hotel Cir N # 320, San Diego, CA 92108-2807 | 2019-09-10 |
| 1437708518 | Brendan Domingo Guerra | Case Manager/Care Coordinator | 5617 Vista San Juanico, San Diego, CA 92154-5672 | 2019-09-10 |
| 1457912982 | Kendra Crater | Case Manager/Care Coordinator | 3481 Kurtz St, San Diego, CA 92110-4430 | 2019-06-25 |
| 1790342319 | Ariella Beth Darlington | Case Manager/Care Coordinator | 3644 Princeton Ave, San Diego, CA 92117-5637 | 2019-05-20 |
| 1013572361 | Brandon Joel Jessie | Case Manager/Care Coordinator | 1250 Morena Blvd Bldg 2nd, San Diego, CA 92110-3815 | 2019-05-02 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on PAMELA RENEE PROHOROFF.
| 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.