DESHUN W VINES


Address: 1671 The Alameda Ste 306, San Jose, CA 95126-2222
Phone: 4087619921

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
2035 Fairmont Dr, San Leandro, CA 945781088 5103467832

Office Location

Street Address 1671 THE ALAMEDA STE 306
City SAN JOSE
State CA
Zip Code 95126-2222

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95126

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Dataset Information

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.

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