JERE CASS FERNANDES (NPI# 1265959985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265959985 |
| Entity Type | Individual |
| Full Name | JERE CASS FERNANDES |
| Practice Address |
10526 Dubnoff Way North Hollywood CA 91606-3921 |
| Practice Telephone | (818) 755-4950 |
| Practice Fax Number | 8187520783 |
| Mailing Telephone | 8187554950 |
| Mailing Fax Number | 8187520783 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| 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 | MEDI-CAL | 95-2633765 | 01 |
| Street Address |
10526 DUBNOFF WAY |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91606-3921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821138173 | Janie S Strasner | Psychologist | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2007-02-07 |
| 1871141432 | Marisol Lopez | Case Manager/Care Coordinator | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2019-08-27 |
| 1063987212 | Christhi Tanzania Vault | Case Manager/Care Coordinator | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2018-10-03 |
| 1104309467 | Rachel Jane Romanski | Case Manager/Care Coordinator | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2018-09-12 |
| 1649769456 | Genesis Yvette Moncada | Case Manager/Care Coordinator | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2018-05-07 |
| 1154840114 | Johnathan Eduardo Molina | Case Manager/Care Coordinator | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2017-09-11 |
| 1255858197 | Leah Nichols | Case Manager/Care Coordinator | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2017-08-22 |
| 1184161390 | Katie Carolyn Ortiz | Case Manager/Care Coordinator | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2017-01-25 |
| 1417400276 | Flor Hermosillo | Case Manager/Care Coordinator | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2016-07-28 |
| 1205208147 | Tina Badiyan | Marriage & Family Therapist | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2015-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1306322409 | Ally Home Health, Inc. | Home Health | 12801 Victory Blvd, N Hollywood, CA 91606 | 2018-07-12 |
| 1083133730 | Amanda Kardonskiy | Counselor | 12821 Victory Blvd., North Hollywood, CA 91606 | 2017-09-13 |
| 1740719020 | Christian Quijano | Case Manager/Care Coordinator | 6736 Laurel Cyn. Blvd., Suite 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1972032308 | Luis Angel Estrada | Rehabilitation Practitioner | 6736 Laurel Canyon Blvd. Unit 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1003342262 | Mint Services | Medical Genetics | 12183 Victory Blvd, North Hollywood, CA 91606 | 2017-05-10 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1811364755 | Haig Mastikian | Dentist | 10835 Oxnard St, North Hollywood, CA 91606 | 2015-08-26 |
| 1962895805 | Jam Sports Inc | Clinic/Center | 12813 Victory Blvd, North Hollywood, CA 91606 | 2015-03-17 |
| 1750642880 | Heidi Raquel Donaire | Marriage & Family Therapist | 6736 Laurel Canyon Blvd., Ste. 200, North Hollywood, CA 91606 | 2012-06-05 |
| Find all providers in zip 91606 | ||||
| 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 |
|---|---|---|---|---|
| 1740719020 | Christian Quijano | Case Manager/Care Coordinator | 6736 Laurel Cyn. Blvd., Suite 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1023555604 | Jeannette Castro | Case Manager/Care Coordinator | 12221 Vanowen St Apt C, North Hollywood, CA 91605-5619 | 2017-01-20 |
| 1548473960 | Reza Khosrowabadi | Case Manager/Care Coordinator | 6736 Laurel Canyon Bl., 200, North Hollywood, CA 91606 | 2007-05-08 |
| 1689719692 | Diego Soto | Case Manager/Care Coordinator | 4928 Lankershim Blvd, North Hollywood, CA 91601-4443 | 2007-02-20 |
| 1871141432 | Marisol Lopez | Case Manager/Care Coordinator | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2019-08-27 |
| 1699233650 | Deepa Karmakar | Case Manager/Care Coordinator | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 | 2019-03-08 |
| 1427528124 | Stacey Marie Leal | Case Manager/Care Coordinator | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 | 2018-11-26 |
| 1063987212 | Christhi Tanzania Vault | Case Manager/Care Coordinator | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2018-10-03 |
| 1104309467 | Rachel Jane Romanski | Case Manager/Care Coordinator | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2018-09-12 |
| 1225511876 | Sarahi Belmont Sanchez | Case Manager/Care Coordinator | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 | 2018-09-10 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91606 |
Please comment or provide details below to improve the information on JERE CASS FERNANDES.
| 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.