BRIANNA CAITLIN WIDMAN (NPI# 1245837509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245837509 |
Entity Type | Individual |
Full Name | BRIANNA CAITLIN WIDMAN |
Credential | MHW |
Practice Address |
3569 Lexington Ave El Monte CA 91731-2607 |
Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-3536 |
Practice Telephone | 6264533399 |
Mailing Telephone | 6262545000 |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
Street Address |
3569 LEXINGTON AVE |
City | EL MONTE |
State | CA |
Zip Code | 91731-2607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669599759 | Stephanie Joy Shockney | Counselor | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2007-03-23 |
1063020741 | Adriana Maria Ramirez | Student in an Organized Health Care Education/Training Program | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2020-07-17 |
1134747652 | Jessica Michelle Rios Martinez | Student in an Organized Health Care Education/Training Program | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2020-07-10 |
1396384780 | Brian Christian Villagrana | Counselor | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2020-01-02 |
1316583867 | Joel Alcantar | Counselor | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2019-11-19 |
1255975546 | Camille Bulaclac | Counselor | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2019-10-30 |
1679128748 | Judith Gonzalez | Student in an Organized Health Care Education/Training Program | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2019-08-06 |
1104487867 | Cinthia Lopez | Counselor | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2019-06-24 |
1467010553 | Mark Anthony Serrano | Counselor | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2019-06-03 |
1649837733 | Olga Judith Deaton | Student in an Organized Health Care Education/Training Program | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2019-05-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154965994 | Anahi Mora | Case Manager/Care Coordinator | 3629 Santa Anita Ave, El Monte, CA 91731 | 2019-11-05 |
1346882321 | Rosemary Pespisa | Technician | 10558 Emery St., El Monte, CA 91731 | 2019-10-11 |
1962058123 | Maria Jesusa Gabriel | Licensed Vocational Nurse | 11041 E. Valley Blvd., El Monte, CA 91731 | 2019-08-14 |
1346720679 | Ivan Bustamante | Counselor | 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA 91731 | 2018-08-16 |
1891213229 | Abbye Williams | Counselor | 11100 Valley Blvd Suite 116, El Monte, CA 91731 | 2017-09-06 |
1215467279 | All Health Alliance Medical Group, Inc. | Physical Medicine & Rehabilitation | 10505 Valley Boulevard, #238, El Monte, CA 91731 | 2017-06-13 |
1427416486 | Mai Le | Counselor | 11041 E. Valley Blvd, El Monte, CA 91731 | 2016-02-05 |
1235526724 | Kristine Malana | Social Worker | 10418 E. Valley Blvd., Suite A, El Monte, CA 91731 | 2015-04-22 |
1376980250 | Aura Hernandez | Rehabilitation Practitioner | 9865 Baldwin Pl., El Monte, CA 91731 | 2013-05-31 |
1639411754 | Roxana Yaneth De Paz | Nurse's Aide | 10481 Valley Blvd., El Monte, CA 91731 | 2013-03-27 |
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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 |
---|---|---|---|---|
1154965994 | Anahi Mora | Case Manager/Care Coordinator | 3629 Santa Anita Ave, El Monte, CA 91731 | 2019-11-05 |
1013482413 | Meka Webb | Case Manager/Care Coordinator | 3629 Santa Anita Ave Ste 201, El Monte, CA 91731-3635 | 2018-10-11 |
1598273864 | Leonardo Espinoza | Case Manager/Care Coordinator | 11129 Elliott Ave, El Monte, CA 91733-2419 | 2018-01-19 |
1740708908 | Irwin D Castro | Case Manager/Care Coordinator | 11229 Klingerman St # 3, El Monte, CA 91733-2826 | 2017-09-07 |
1689126575 | Adan Duarte Jr. | Case Manager/Care Coordinator | 10405 Bodger St, Apt. F, El Monte, CA 91733-1384 | 2016-10-26 |
1710346226 | Thanhthuy Ngo | Case Manager/Care Coordinator | 2620 Doreen Ave, El Monte, CA 91733-2233 | 2016-02-12 |
1518323500 | Monica Monique Viescas | Case Manager/Care Coordinator | 10113 Fern Street, El Monte, CA 91733 | 2016-01-07 |
1467789131 | Manuel Rueda | Case Manager/Care Coordinator | 11234 E. Valley Blvd. #302, El Monte, CA 91731 | 2009-11-17 |
1649449521 | Holly Darlene Tollette Thomas | Case Manager/Care Coordinator | 11234 Valley Blvd, Suite 302, El Monte, CA 91731-3241 | 2008-02-26 |
1700073442 | Sandra V Acosta | Case Manager/Care Coordinator | 11001 Valley Mall Ste 300, El Monte, CA 91731-2620 | 2007-09-26 |
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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.