TRACI MARTIN


Address: 4611 E 52nd Dr Apt 123, Vernon, CA 90058-5534
Phone: 7026281753

TRACI MARTIN (NPI# 1326494600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326494600
Entity Type Individual
Full Name TRACI MARTIN
Practice Address 4611 E 52nd Dr Apt 123
Vernon
CA 90058-5534
Practice Telephone 7026281753
Mailing Telephone 7026281753
Enumeration Date 2016-05-05
Last Update Date 2016-05-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers TRACI MARTIN

NPI Name Taxonomy Address Enumeration
1164889010 Traci Martin Advanced Practice Midwife 8845 Six Pines Dr, Shenandoah, TX 77380-2675 2016-01-23
1144602640 Traci Lynn Martin Nurse Practitioner 1001 Hadley Rd, Suite Ll050, Mooresville, IN 46158-1883 2015-06-22
1285848507 Traci Lynn Martin Physical Therapist 500 15th Ave S, Benefis Therapy Center, Great Falls, MT 59405-4324 2007-05-09
1427170927 Traci Martin Counselor 2191 Kirker Pass Rd, Concord, CA 94521-1629 2007-04-04
1770664815 Traci Kristine Martin Speech-Language Pathologist 536 Old Howell Rd, Greenville, SC 29615-1969 2006-10-17

Office Location

Street Address 4611 E 52ND DR APT 123
City VERNON
State CA
Zip Code 90058-5534

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043446933 Jorge Luis Nunez Dental Assistant 5048 Long Beach Ave #460, Los Angeles, CA 90058 2009-06-05
1730384538 Robert Earl Barker Psychiatry & Neurology 2444 S Alameda St, Suite 200, Los Angeles, CA 90058-1334 2007-06-20
1881885101 Abel R Quesada General Practice 4221 S Alameda St, Vernon, CA 90058-1601 2007-08-05
1700313004 La Urgent Care & Occupational Medicine Chiropractor 4221 S Alameda St, Vernon, CA 90058-1601 2017-05-17
1699092783 Abel Quesada, Apc General Practice 4221 S Alameda St, Vernon, CA 90058-1601 2010-04-28
1033612197 Ian Fitz-gibbon Chiropractor 3668 S Soto St, Vernon, CA 90058-1701 2018-03-15
1588922157 Central Occupational Medicine Providers - Ontario, A Medical Corporati Clinic/Center 3688 S Soto St, Vernon, CA 90058-1701 2012-05-02
1639472434 City of Vernon Ambulance 4305 S Santa Fe Ave, Vernon, CA 90058-1714 2010-12-16
1750751194 Los Angeles County Department of Mental Health Clinic/Center 4305 S Santa Fe Ave, Vernon, CA 90058-1714 2015-09-28
1811905029 Guilllermo Jose Covarrubias Physical Therapy Assistant 3851 S Soto St, Vernon, CA 90058-1718 2006-08-03
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255967337 Kristina Acuna Case Manager/Care Coordinator 346 Tunnel Rd, Vernon, CT 06066-5929 2020-03-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689275935 Grecia Leticia Garcia Case Manager/Care Coordinator 1830 Rodgers Rd Apt F, Hanford, CA 93230-1930 2020-11-03
1679173835 Cristina Palacios-gomez Case Manager/Care Coordinator 1834 E Lester Ave, Fresno, CA 93720-1963 2020-10-27
1417557653 Jeannine Arnetta Nash Case Manager/Care Coordinator 7614 Lemon Ave Ste C, Lemon Grove, CA 91945-1619 2020-10-27
1932709359 Vue Moua Case Manager/Care Coordinator 4812 Conzelman Way, Elk Grove, CA 95757-2508 2020-10-26
1932709458 Andre Howard Case Manager/Care Coordinator 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 2020-10-26
1194324020 Project Raised Case Manager/Care Coordinator 3839 Amanda St, Unit 133, West Covina, CA 91792-2759 2020-10-21
1528667854 Sarah Claudio Case Manager/Care Coordinator 650 Howe Ave # 400-b, Sacramento, CA 95825 2020-10-19
1750989240 David John Schmidt-cook Case Manager/Care Coordinator 5580 Foothill Rd, Rocklin, CA 95677-3316 2020-10-15
1164020459 Karina Montes Rodriguez Case Manager/Care Coordinator Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 2020-10-09
1841897675 Madeline Hannah Starkenburg Case Manager/Care Coordinator 11559 Claridge Dr, Rch Cucamonga, CA 91730-7246 2020-10-05
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Competitor

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City VERNON
Zip Code 90058

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Dataset Information

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.

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