DEWAYNE THOMAS ZACHARY JR. (NPI# 1326408303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326408303 |
| Entity Type | Individual |
| Full Name | DEWAYNE THOMAS ZACHARY JR. |
| Practice Address |
6508 Danny Dr Unit 227 Stockton CA 95210-5352 |
| Mailing Address |
440 W Fremont Ave Stockton CA 95204 |
| Practice Telephone | 2098884519 |
| Mailing Telephone | 2098884519 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |
| 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 |
| Street Address |
6508 DANNY DR UNIT 227 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-5352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| 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 |
| 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 |
| 1902177132 | Yvette Rodriguez Palacio | Case Manager/Care Coordinator | 555 W. Benjamin Holt Dr, Suite 400, Stockton, CA 95207-3839 | 2012-01-19 |
| Find all providers in STOCKTON | ||||
Please comment or provide details below to improve the information on DEWAYNE THOMAS ZACHARY JR..
| 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.