MR. RODNEY JACKSON (NPI# 1306981295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306981295 |
| Entity Type | Individual |
| Full Name | MR. RODNEY JACKSON |
| Practice Address |
5849 Crocker St Unit L Los Angeles CA 90003-1311 |
| Mailing Address |
1912 W 112th St Los Angeles CA 90047-4739 |
| Practice Telephone | 3232344445 |
| Practice Fax Number | 3232344477 |
| Mailing Telephone | 3232344445 |
| Mailing Fax Number | 3232344477 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2017-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063972669 | Rodney Lajuan Jackson Jr. | Behavior Technician | 7445 39th Pl N, St Petersburg, FL 33709-4310 | 2019-03-21 |
| 1205125747 | Rodney Jackson | Occupational Therapist | 18135 W Catawba Ave Ste 11, Cornelius, NC 28031-5641 | 2011-04-05 |
| 1205931599 | Rodney Allen Jackson | Dentist | 2517 Sir Barton Way Ste 200, Lexington, KY 40509-2275 | 2006-09-13 |
| 1285659615 | Rodney Gilkey Jackson | Chiropractor | 309 Laurel Ave, Tillamook, OR 97141-2313 | 2006-07-13 |
| 1457838062 | Rodney Jackson Jr. | Case Manager/Care Coordinator | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2018-07-26 |
| 1538602941 | Rodney Jackson Sr. | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2016-12-02 |
| 1093965089 | Rodney Dewayne Jackson | Specialist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2008-09-25 |
| 1619975398 | Rodney Mark Jackson | Specialist | 3654 W Anthem Way, Suite B-114, Anthem, AZ 85086-0455 | 2005-07-07 |
| Street Address |
5849 CROCKER ST UNIT L |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90003-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922029 | Martha Yesenia Corleto | Counselor | 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 | 2020-11-05 |
| 1770180069 | Kennedy Singer | Counselor | 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 | 2020-10-08 |
| 1396358867 | Brenda Martinez | Counselor | 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 | 2020-08-25 |
| 1790323194 | Jocelyn Areli Mendoza Cid | Social Worker | 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 | 2019-12-16 |
| 1205473915 | Keisha Anjanette Owens | Case Manager/Care Coordinator | 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 | 2019-12-02 |
| 1811533516 | Dayna Moore | Counselor | 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 | 2019-11-18 |
| 1013568286 | Porsha Shunae Boyd | Case Manager/Care Coordinator | 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 | 2019-09-27 |
| 1265083760 | Candy Latrice Baker | Case Manager/Care Coordinator | 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 | 2019-09-25 |
| 1548811409 | Stephany Ramos | Case Manager/Care Coordinator | 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 | 2019-09-23 |
| 1700436359 | Jeffrey Eduardo Romo | Case Manager/Care Coordinator | 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 | 2019-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780227207 | Herminia E Galvez | Counselor | 8005 S. Figueroa Street, Business, Los Angeles, CA 90003 | 2019-10-28 |
| 1720567548 | Banty Dental Corporation | Clinic/Center | 5971 S Main Street, Los Angeles, CA 90003 | 2018-08-13 |
| 1932623030 | Mireya Melendez | Case Manager/Care Coordinator | 5849 Crocker Street Unit L, Los Angeles, CA 90003 | 2017-07-31 |
| 1356865810 | Oscar Montes Jr. | Social Worker | 8220 San Pedro St., Los Angeles, CA 90003 | 2017-07-26 |
| 1619407483 | Tonja Benetta Jordan | Registered Nurse | 5850 South Main St, Los Angeles, CA 90003 | 2017-06-14 |
| 1194254581 | Janae Wilson Shepherd | Registered Nurse | 5850 S Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1649709049 | Eisha Eishawndra Purvis | Registered Nurse | 5850 S. Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1689022477 | Ladan Hariri | Psychiatry & Neurology | 1200 N.state St., Los Angeles, CA 90003 | 2016-06-02 |
| 1811330772 | David Chavez | Dental Assistant | 358 East 76st, Los Angeles, CA 90003 | 2013-04-10 |
| Find all providers in zip 90003 | ||||
| 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 |
|---|---|---|---|---|
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1245855725 | Ashley Ivette Berumen | Case Manager/Care Coordinator | 1900 W Slauson Ave, Los Angeles, CA 90047-1129 | 2020-06-10 |
| 1356965776 | Jennifer Yanovski | Case Manager/Care Coordinator | 316 W 2nd St Ste 202, Los Angeles, CA 90012-3527 | 2020-06-01 |
| 1841820560 | Kiara Imani Thomas | Case Manager/Care Coordinator | 226 E 103rd St, Los Angeles, CA 90003-4720 | 2020-01-22 |
| 1023648748 | Christopher Rivas | Case Manager/Care Coordinator | 1410 N Kenmore Ave Apt 5, Los Angeles, CA 90027-5826 | 2020-01-22 |
| 1396383782 | Candace Laolagi | Case Manager/Care Coordinator | 246 E 47th St, Los Angeles, CA 90011-3908 | 2019-12-16 |
| 1902448343 | Aster Libasu | Case Manager/Care Coordinator | 2619 Wilshire Blvd Apt 1005, Los Angeles, CA 90057-3461 | 2019-10-16 |
| 1831749456 | Jasmine Lynn Martinez | Case Manager/Care Coordinator | 6768 Lexington Ave, Los Angeles, CA 90038-1234 | 2019-09-16 |
| 1033762547 | John Charles Gutierrez | Case Manager/Care Coordinator | 4265 S Normandie Ave, Los Angeles, CA 90037-2324 | 2019-07-23 |
| 1609429976 | Vianey Colon | Case Manager/Care Coordinator | 11601 S Western Ave # O, Los Angeles, CA 90047-5006 | 2019-07-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90003 |
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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.