PHOENIX STAR INSURANCE (NPI# 1215482450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215482450 |
| Entity Type | Organization |
| Organization Name | PHOENIX STAR INSURANCE |
| Practice Address |
10130 Garden Grove Blvd Garden Grove CA 92844-1689 |
| Practice Telephone | 7148767502 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |
| Authorized Official Name | ALLAN LY (AGENCY OWNER) |
| Authorized Official Telephone | 7148673977 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | 0K71317 | CA | Agencies |
| Street Address |
10130 GARDEN GROVE BLVD |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92844-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326351966 | Ukjae Jung | Dentist | 10130 Garden Grove Blvd, 201, Garden Grove, CA 92844-1689 | 2010-07-25 |
| 1386004182 | George Xenakis, Dds, PC | Clinic/Center | 10130 Garden Grove Blvd, #201, Garden Grove, CA 92844-1689 | 2016-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346720042 | 4 U Dental | Dentist | 9363 Garden Grove Blvd #3, Garden Grove, CA 92844 | 2018-08-21 |
| 1578057717 | Jennifer Nd Hoang | Optometrist | 8942 Garden Grove Blvd Ste 104, Garden Grove, CA 92844 | 2018-06-20 |
| 1649798612 | Boan Optometry Inc. | Optometrist | 8942 Garden Grove Blvd., Ste 104, Garden Grove, CA 92844 | 2017-08-30 |
| 1811348329 | Dongsam Cho I | Acupuncturist | 8736 Garden Grove Blvd, Garden Grove, CA 92844 | 2016-06-27 |
| 1225417124 | Traci Ngan Le | Registered Nurse | 9191 Westminster Ave Ste 209, Garden Grove, CA 92844 | 2015-05-25 |
| 1932465622 | Dong J. Yoo | Dentist | 8471 Garden Grove Blvd., Garden Grove, CA 92844 | 2012-04-06 |
| 1932470788 | Dang Bao Nguyen | Physician Assistant | 9191 Wesminster Ave, Garden Grove, CA 92844 | 2012-01-24 |
| 1003116013 | In Sook Lim | Acupuncturist | 9796 Garden Grove Blvd, Garden Grove, CA 92844 | 2010-10-25 |
| 1881905339 | Kris Acupuncture, Inc | Acupuncturist | 8322 Garden Grove Bl, Garden Grove, CA 92844 | 2010-06-30 |
| 1346572906 | Myloc Thi Nguyen | Dentist | 13212 Magnolia St #c8, Garden Grove, CA 92844 | 2010-02-08 |
| Find all providers in zip 92844 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1366091894 | Twin Rivers Unified School District | Supports Brokerage | 3051 Fairfield Street, Sacramento, CA 95815 | 2019-09-07 |
| 1144793068 | Concise Care Group | Supports Brokerage | 145 N Praire Ave, Inglewood, CA 90301-1904 | 2019-01-03 |
| 1861962185 | So Cal Imaging LLC | Supports Brokerage | 2075 Hathaway Ave, Westlake Village, CA 91362-5171 | 2018-11-29 |
| 1023533379 | Synergy Authorization Services | Supports Brokerage | 1815 Sherington Pl, Newport Beach, CA 92663-6055 | 2017-08-08 |
| 1477084523 | Data Soft Logic Corporation | Supports Brokerage | 16037 Sherman Way, Van Nuys, CA 91406-4023 | 2017-03-21 |
| 1114460045 | Dilgir Singh-lima | Supports Brokerage | 10541 Calle Lee, 125, Los Alamitos, CA 90720-2541 | 2016-11-26 |
| 1336592336 | Market Capital Management Inc | Supports Brokerage | 1265 Carlsbad Village Dr, Suite 100, Carlsbad, CA 92008-1972 | 2016-07-14 |
| 1588026355 | Blanco Interpreting, Inc. | Supports Brokerage | 1317 6th Ave, Venice, CA 90291-3433 | 2016-03-22 |
| 1316306657 | Just Partners Inc | Supports Brokerage | 10063 Riverside Dr, 2582, Toluca Lake, CA 91610-7001 | 2016-02-15 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92844 |
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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.