ADVANCED HEALTHCARE ADMINISTRATION (NPI# 1336747013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336747013 |
| Entity Type | Organization |
| Organization Name | ADVANCED HEALTHCARE ADMINISTRATION |
| Practice Address |
124 N Tustin Ave Anaheim CA 92807-2764 |
| Mailing Address |
Po Box 842 Atwood CA 92811-0842 |
| Practice Telephone | 5625653529 |
| Practice Fax Number | 7143648112 |
| Mailing Telephone | 5625653529 |
| Mailing Fax Number | 7143648112 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | ANA V MONCADA (PROGRAM ADMINISTRATOR) |
| Authorized Official Telephone | 5625653529 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
124 N TUSTIN AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92807-2764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
| 1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
| 1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
| 1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
| 1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
| Find all providers in zip 92807 | ||||
| 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 |
|---|---|---|---|---|
| 1598118622 | Childrens Bureau | Case Manager/Care Coordinator | 50 S Anaheim Blvd Ste 200, Anaheim, CA 92805-2961 | 2016-07-13 |
| 1285082750 | Diana Yezenia Medina | Case Manager/Care Coordinator | 50 South Anaheim Blvd, Suite 241, Anaheim, CA 92805-2961 | 2016-05-25 |
| 1639519671 | Karla Betancourt | Case Manager/Care Coordinator | 122 N Magnolia Ave, Apt 102, Anaheim, CA 92801-6470 | 2013-07-03 |
| 1598080483 | Cynthia Contreras | Case Manager/Care Coordinator | 1192 W Chateau Ave, Anaheim, CA 92802-1837 | 2010-04-02 |
| 1417286923 | Laura L Lieras | Case Manager/Care Coordinator | 1260 N Riviera St, Anaheim, CA 92801-2306 | 2009-12-11 |
| 1568791374 | Carlos A Torres | Case Manager/Care Coordinator | 341 E. Center St, Anaheim, CA 92805 | 2009-12-08 |
| 1003149865 | Scott Fredrickson | Case Manager/Care Coordinator | 203 W Cliffwood Ave, Anaheim, CA 92802-4816 | 2009-09-11 |
| 1962656124 | Nanette E Arroyo | Case Manager/Care Coordinator | 415 S Clementine St Apt 104, Anaheim, CA 92805-3823 | 2008-11-13 |
| 1740449115 | Lorna M Winterrowd | Case Manager/Care Coordinator | 1535 E Orangewood Ave, Anaheim, CA 92805-6824 | 2008-06-02 |
| 1174798961 | Gerardo Olivera | Case Manager/Care Coordinator | 341 E. Center Drive, Anaheim, CA 90201-3323 | 2008-04-23 |
| Find all providers in ANAHEIM | ||||
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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.