STEVEN RYAN (NPI# 1295117174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295117174 |
| Entity Type | Individual |
| Full Name | STEVEN RYAN |
| Practice Address |
1947 N California St B Stockton CA 95204-6029 |
| Practice Telephone | 2094630870 |
| Practice Fax Number | 2094631903 |
| Mailing Telephone | 2094630870 |
| Mailing Fax Number | 2094631003 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2016-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 00-85-020-0517 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912026931 | Steven J. Ryan | Psychiatry & Neurology | 8124 S. 92nd Ave, La Vista, NE 68128-3203 | 2007-03-29 |
| 1376695486 | Steven T Ryan | Chiropractor | 14410 Se Petrovitsky Rd Ste 109, Renton, WA 98058-8900 | 2007-01-17 |
| 1952470890 | Steven John Ryan | Physical Therapist | 706 Newman Springs Rd, Lincroft, NJ 07738 | 2006-11-07 |
| 1326122979 | Steven Lloyd Ryan | Dentist | 903 San Ramon Valley Blvd, Suite 126, Danville, CA 94526 | 2006-10-24 |
| 1073532867 | Steven Elliott Ryan | Family Medicine | 6011 E. Woodmen Road, Suite 300, Colorado Springs, CO 80923 | 2006-07-19 |
| 1740565589 | Steven James Ryan | Chiropractor | 1076 Old Des Peres Rd, Des Peres, MO 63131-1865 | 2011-10-12 |
| Street Address |
1947 N CALIFORNIA ST B |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-6029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326080862 | Matrix Rehabilitation, Inc. | Clinic/Center | 1947 N California St, Suite B, Stockton, CA 95204-6029 | 2006-06-11 |
| 1093345183 | Kurtis Woody | Licensed Vocational Nurse | 1947 N California St, Stockton, CA 95204-6029 | 2020-01-17 |
| 1588211502 | Roberta Jean Lewis-goldfine | Licensed Vocational Nurse | 1947 N California St, Stockton, CA 95204-6029 | 2019-08-23 |
| 1568945822 | Pa Gnia Yang | Counselor | 1947 N California St, Stockton, CA 95204-6029 | 2018-09-12 |
| 1639669070 | Sioban Regina Mersaroli | Counselor | 1947 N California St, Stockton, CA 95204-6029 | 2018-05-11 |
| 1720580970 | Rana Amjadi Khan | Counselor | 1947 N California St, Stockton, CA 95204-6029 | 2018-03-05 |
| 1548793656 | Marc Heslop | Counselor | 1947 N California St, Stockton, CA 95204-6029 | 2017-04-05 |
| 1376908814 | Stephen Bradley Machado II | Counselor | 1947 N California St, Suite B, Stockton, CA 95204-6029 | 2015-12-29 |
| 1083007033 | Josepph Daniel Isquierdo | Counselor | 1947 N California St, Suite B, Stockton, CA 95204-6029 | 2015-03-16 |
| 1447671581 | Rebecca Martin | Counselor | 1947 N California St, Suite B, Stockton, CA 95204-6029 | 2013-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.