MR. JEFFREY LYNNE TRAVERS (NPI# 1174822027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174822027 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY LYNNE TRAVERS |
| Practice Address |
12353 Imperial Hwy Norwalk CA 90650-8305 |
| Practice Telephone | 5624843385 |
| Practice Fax Number | 5624840269 |
| Mailing Telephone | 5624843385 |
| Mailing Fax Number | 5624840269 |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1512013461 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770599979 | Jeffrey B Travers | Dermatology | 725 University Blvd, Dayton, OH 45435-0001 | 2006-07-31 |
| Street Address |
12353 IMPERIAL HWY |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-8305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477639946 | David Adolfo Coloma | Licensed Psychiatric Technician | 12353 Imperial Hwy, Apt. #1, Norwalk, CA 90650 | 2006-10-27 |
| 1649554486 | Martin Mario Ginger | Counselor | 12353 Imperial Hwy, Norwalk, CA 90650-8305 | 2011-09-28 |
| 1013230929 | Tat Wong | Counselor | 12353 Imperial Hwy, Norwalk, CA 90650-8305 | 2010-03-05 |
| 1023342698 | Christy Perry | Counselor | 12353 Imperial Hwy, Norwalk, CA 90650-8305 | 2009-09-29 |
| 1154554319 | Carlos Marquez | Licensed Vocational Nurse | 12353 Imperial Hwy, Norwalk, CA 90650-8305 | 2009-09-03 |
| 1962638510 | Kelly R Zollo | Licensed Psychiatric Technician | 12353 Imperial Hwy, Norwalk, CA 90650-8305 | 2009-06-09 |
| 1326209651 | Marcie Gomez | Licensed Vocational Nurse | 12353 Imperial Hwy, Norwalk, CA 90650-8305 | 2008-06-19 |
| 1528240231 | Aloah Dawn Byrum | Counselor | 12353 Imperial Hwy, Norwalk, CA 90650-8305 | 2007-12-04 |
| 1598814451 | Oleina M Brown | Counselor | 12353 Imperial Hwy, Norwalk, CA 90650-8305 | 2007-01-09 |
| 1760540991 | Charles Frederick Stone | Psychiatry & Neurology | 12353 Imperial Hwy, Norwalk, CA 90650-8305 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| 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 |
|---|---|---|---|---|
| 1578195194 | Norma Franco | Case Manager/Care Coordinator | 13008 Rosecrans Ave, Norwalk, CA 90650-4551 | 2020-02-11 |
| 1992240188 | Alma Brown | Case Manager/Care Coordinator | 13319 Volunteer Ave, Norwalk, CA 90650-3125 | 2016-12-27 |
| 1861871006 | Smret Berhe | Case Manager/Care Coordinator | 12400 Imperial Hwy, Norwalk, CA 90650-3134 | 2015-05-20 |
| 1255473971 | Abby Hotchkiss | Case Manager/Care Coordinator | 12440 Firstone Blvd, # 3025, Norwalk, CA 90650 | 2007-02-12 |
| 1396810354 | Melvin Andrew Files | Case Manager/Care Coordinator | 12353 E Imperial Hwy, Norwalk, CA 90650 | 2006-11-22 |
| 1811598824 | Alicia Gutierrez | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-11-05 |
| 1811503220 | Kimberly Pacheco | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-09-21 |
| 1316558810 | Andrea Catherine Pappas | Case Manager/Care Coordinator | 292 Benedict Ave, Norwalk, OH 44857-2374 | 2020-08-10 |
| 1982215463 | Mackenzie Watkins | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-08-10 |
| 1235740713 | Sergio I Osorio | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-08-10 |
| Find all providers in NORWALK | ||||
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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.