MAYRA GUADALUPE SANDOVAL


Address: 445 N San Joaquin St, Stockton, CA 95202-2026
Phone: 2094448910

MAYRA GUADALUPE SANDOVAL (NPI# 1225652381) 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) 1225652381
Entity Type Individual
Full Name MAYRA GUADALUPE SANDOVAL
Practice Address 445 N San Joaquin St
Stockton
CA 95202-2026
Practice Telephone 2094448910
Mailing Telephone 2094448910
Enumeration Date 2020-06-04
Last Update Date 2020-06-04
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Other Providers MAYRA SANDOVAL

NPI Name Taxonomy Address Enumeration
1629519632 Mayra Sandoval Case Manager/Care Coordinator 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331-1391 2017-03-10

Office Location

Street Address 445 N SAN JOAQUIN ST
City STOCKTON
State CA
Zip Code 95202-2026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396944336 The Catholic Council for The Spanish Speaking of The Diocese of Stockt Case Management 445 N San Joaquin St, Stockton, CA 95202-2003 2007-07-11
1659971679 Sadith Mariscal Velasquez Counselor 445 N San Joaquin St, Stockton, CA 95202-2026 2020-10-28
1154928372 Estefania Vargas Counselor 445 N San Joaquin St, Stockton, CA 95202-2026 2020-10-01
1316544539 Aly Crystal Ramirez Counselor 445 N San Joaquin St, Stockton, CA 95202-2026 2020-10-01
1831702653 Janet Moreno Counselor 445 N San Joaquin St, Stockton, CA 95202-2026 2020-08-31
1588277644 Lidia Barraza Counselor 445 N San Joaquin St, Stockton, CA 95202-2026 2020-08-28
1326609769 Edith Tapia Counselor 445 N San Joaquin St, Stockton, CA 95202-2026 2019-06-26
1922662360 Veronica Borrego Segovia-perez Student in an Organized Health Care Education/Training Program 445 N San Joaquin St, Stockton, CA 95202-2026 2019-04-30
1093289613 Nicole Deny Perez Student in an Organized Health Care Education/Training Program 445 N San Joaquin St, Stockton, CA 95202-2026 2019-01-16
1295210516 Ruth Sanchez Case Manager/Care Coordinator 445 N San Joaquin St, Stockton, CA 95202-2026 2018-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336774678 Lecletus Griffin Jr. Counselor 1212 N. Califronia Street, Stockton, CA 95202 2020-03-06
1861035586 Andrea Mn Perkins Social Worker Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 2019-10-25
1932664620 San Joaquin County Behavioral Health Services Community/Behavioral Health 1212 N. Califorian St, Stockton, CA 95202 2019-02-06
1730655895 Jenaiah La'neise Sauceda Social Worker 343 E Main St Ste 918, Stockton, CA 95202 2018-10-16
1235631722 Parker Yang Counselor 1111 N. El Dorado St, Stockton, CA 95202 2018-03-01
1912406976 Janet Mendoza Social Worker 6 South Eldorado Street, Stockton, CA 95202 2018-02-06
1487162087 Linda Soun Counselor 1111 N. El Dorado Street, Stockton, CA 95202 2018-01-17
1124545355 Suleyma Velesquez Counselor 445 N. San Joaquin St., Stockton, CA 95202 2017-08-28
1821513946 Savoeun Phal Counselor 1212 N California St Ste A214, Stockton, CA 95202 2017-08-09
1861921272 Mandeep K Minhas Registered Nurse 1212 California St, Stockton, CA 95202 2017-06-08
Find all providers in zip 95202

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
1518507821 Ashlee Frazier Case Manager/Care Coordinator 4219 Heirloom Ct, Stockton, CA 95219-2508 2020-01-14
1841844982 Imroz Sandhu Case Manager/Care Coordinator 1803 W March Ln, Stockton, CA 95207-6414 2019-07-26
1588160865 Tyresha Williams Case Manager/Care Coordinator 1640 Tyrol Ln Apt 102, Stockton, CA 95207-6687 2018-04-04
1326408303 Dewayne Thomas Zachary Jr. Case Manager/Care Coordinator 6508 Danny Dr Unit 227, Stockton, CA 95210-5352 2016-03-03
1891175592 Tracy Ford Case Manager/Care Coordinator 1839 S El Dorado Street, Stockton, CA 95206 2015-06-08
1972991982 Toni Tse Case Manager/Care Coordinator 2009 De La Vega Ct, Stockton, CA 95206-4750 2014-12-27
1013331131 Cecilia Arredondo Case Manager/Care Coordinator 729 N. California St., Stockton, CA 95202 2014-02-10
1235476946 Sonia D Oliver Case Manager/Care Coordinator 1764 W Rose St, Stockton, CA 95203-1526 2013-01-15
1528305273 Shiawana A Hayes Case Manager/Care Coordinator 2119 Red Oak Ct, Stockton, CA 95205-2668 2013-01-14
1518231471 Rhonda M. Bryant Case Manager/Care Coordinator 662 Dave Brubeck Way, # 4, Stockton, CA 95204-1835 2012-02-23
Find all providers in STOCKTON

Competitor

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City STOCKTON
Zip Code 95202

Improve Information

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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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