DESHUN W VINES (NPI# 1134767379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134767379 |
Entity Type | Individual |
Full Name | DESHUN W VINES |
Practice Address |
1671 The Alameda Ste 306 San Jose CA 95126-2222 |
Practice Telephone | 4087619921 |
Mailing Telephone | 4087619921 |
Enumeration Date | 2019-12-18 |
Last Update Date | 2020-05-01 |
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) |
CA | Behavioral Health & Social Service Providers | |
Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2035 Fairmont Dr, San Leandro, CA 945781088 | 5103467832 |
Street Address |
1671 THE ALAMEDA STE 306 |
City | SAN JOSE |
State | CA |
Zip Code | 95126-2222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568800530 | Diana Trinh | Social Worker | 1671 The Alameda Ste 306, San Jose, CA 95126 | 2013-06-11 |
1144846981 | Nhat Ha Nguyen | Social Worker | 1671 The Alameda Ste 306, San Jose, CA 95126-2222 | 2020-06-17 |
1205455128 | Betelehem Temechu | Social Worker | 1671 The Alameda Ste 306, San Jose, CA 95126-2222 | 2020-04-10 |
1760013833 | Bricio Garcia | Social Worker | 1671 The Alameda Ste 306, San Jose, CA 95126-2222 | 2020-01-28 |
1376103739 | Desirae Pica | Social Worker | 1671 The Alameda Ste 306, San Jose, CA 95126-2222 | 2019-06-18 |
1861051005 | Christina V Garcia | Social Worker | 1671 The Alameda Ste 306, San Jose, CA 95126-2222 | 2019-06-11 |
1457820680 | Chloe Bacon | Social Worker | 1671 The Alameda Ste 306, San Jose, CA 95126-2222 | 2018-11-16 |
1669950333 | Lisa Ramirez | Social Worker | 1671 The Alameda Ste 306, San Jose, CA 95126-2222 | 2018-08-03 |
1548754112 | Kazuko Kuramoto | Social Worker | 1671 The Alameda Ste 306, San Jose, CA 95126-2222 | 2018-06-18 |
1134621741 | Nhat Giang | Social Worker | 1671 The Alameda Ste 306, San Jose, CA 95126 | 2018-02-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
Find all providers in zip 95126 |
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 |
---|---|---|---|---|
1619592292 | Feng Zheng | Case Manager/Care Coordinator | 298a Bernal Road, San Jose, CA 95119-1809 | 2020-06-10 |
1881234375 | Harpreet Kaur | Case Manager/Care Coordinator | 1691 Bagpipe Way, San Jose, CA 95121-1506 | 2020-01-13 |
1790321214 | Jesse Schulte | Case Manager/Care Coordinator | 2 N Market St, San Jose, CA 95113-1211 | 2019-11-19 |
1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
1154964252 | Darra Lea Velasco | Case Manager/Care Coordinator | 171 N Capitol Ave Apt 4, San Jose, CA 95127-2333 | 2019-10-21 |
1851948038 | Xinia Maria Muniz | Case Manager/Care Coordinator | 5066 New Trier Ave, San Jose, CA 95136-2720 | 2019-08-22 |
1790246577 | Gary Anduin Garrick | Case Manager/Care Coordinator | 1356 Ridder Park Dr, San Jose, CA 95131-2313 | 2019-03-26 |
1972076347 | William Ray Brice | Case Manager/Care Coordinator | 834 Opal Dr Apt 2, San Jose, CA 95117-2662 | 2019-01-08 |
1285103697 | Connie Bustillo | Case Manager/Care Coordinator | 1356 Ridder Park Drive, San Jose, CA 95131 | 2018-11-14 |
1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
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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.