MRS. ROSA DIAZ


Address: 15095 Amargosa Road, Suite 201, Victorville, CA 92394
Phone: 7602454695

MRS. ROSA DIAZ (NPI# 1144653783) 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) 1144653783
Entity Type Individual
Full Name MRS. ROSA DIAZ
Practice Address 15095 Amargosa Road
Suite 201
Victorville
CA 92394
Mailing Address 15095 Amargosa Rd
Victorville
CA 92394-1879
Practice Telephone 7602454695
Practice Fax Number 7605134676
Mailing Telephone 7602454695
Mailing Fax Number 7605134676
Enumeration Date 2013-08-19
Last Update Date 2017-12-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

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1639633571 Rosa Isela Diaz Student in an Organized Health Care Education/Training Program 200 W Santa Ana Blvd Ste 100, Santa Ana, CA 92701-4134 2019-01-24
1528460672 Rosa Diaz Social Worker 2645 Portland Rd Ne, Suite #120, Salem, OR 97301-0198 2014-09-19
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1851717375 Rosa Diaz Occupational Therapist 59 Harrington Ct, Colchester, CT 06415-1207 2014-03-07
1932425824 Rosa Diaz Counselor 4149 Highline Blvd, Suite 400, Oklahoma City, OK 73108-2103 2010-04-16

Office Location

Street Address 15095 AMARGOSA ROAD
SUITE 201
City VICTORVILLE
State CA
Zip Code 92394

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164604906 Maxim Healthcare Services, Inc. Home Health 15095 Amargosa Road, Suite 102, Victorville, CA 92394 2007-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164045803 Desert Horizon Residential Care Assisted Living Facility 15952 Condor Rd, Victorville, CA 92394 2020-05-28
1467000943 Tawanna Lasha Young Counselor 15095 Armargosa, Ste 208, Victorville, CA 92394 2019-08-28
1811543473 Silvano Gonzalez Transportation Broker 13767 Hidden Mesa Ct, Victorville, CA 92394 2019-08-09
1215442793 Yun Jung Choi Pharmacist 15318 Roy Rogers Dr., Victorville, CA 92394 2017-12-06
1770942914 Monica Castro Marriage & Family Therapist 15095 Armargosa Rd, 208, Victorville, CA 92394 2016-02-16
1902289226 Daesoon Leem Family Medicine 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 2015-07-06
1093068322 City Taxi Taxi 14871 Totem Pole St, Victorville, CA 92394 2012-10-24
1467701318 Margarita Renee Ortega Counselor 16224 Tawney Ridge Lane, Victorville, CA 92394 2012-09-06
1326328584 Pro Line Transportation LLC Non-emergency Medical Transport (VAN) 10604 Karen Dr, Victorville, CA 92394 2011-08-19
1730208927 Daisy Ann Ukonu Social Worker 14252 St Andrews Drive, Suite #5, Victorville, CA 92394 2007-03-28
Find all providers in zip 92394

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
1093298150 Cheryl Denise Ward Case Manager/Care Coordinator 14800 Cheyenne Pl, Victorville, CA 92394-7084 2018-09-13
1972930881 Joseph Toruno Case Manager/Care Coordinator 12188 Hesperia Rd, Victorville, CA 92395-5822 2013-10-09
1467731661 Theresa Christine Rodriquez Case Manager/Care Coordinator 13038 Billings Ct, Victorville, CA 92395-8508 2011-08-05
1952513590 Kenroy Shung Case Manager/Care Coordinator 15116 Paddock Ct, Victorville, CA 92394-7426 2007-05-04
1053919944 Carmela Santos Case Manager/Care Coordinator 15095 Amargosa Rd, Victorville, CA 92394-1879 2020-10-13
1619588944 Dulcinea R Catota Case Manager/Care Coordinator 15095 Amargosa Rd Ste 208, Victorville, CA 92394-1879 2020-08-11
1588287536 Sandra Martinez Case Manager/Care Coordinator 12625 Hesperia Rd, Victorville, CA 92395-7720 2020-05-26
1235764739 Deborah Courtney-taylor Case Manager/Care Coordinator 12625 Hesperia Rd, Victorville, CA 92395-7720 2020-03-05
1134769680 David Velasquez Case Manager/Care Coordinator 12188 Hesperia Rd, Victorville, CA 92395-5822 2020-01-13
1205472438 Elizabeth Difox Case Manager/Care Coordinator 15095 Amargosa Rd, Victorville, CA 92394-1879 2019-11-22
Find all providers in VICTORVILLE

Competitor

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City VICTORVILLE
Zip Code 92394

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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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