MARK TIMOTHY MCDONALD (NPI# 1346368040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346368040 |
| Entity Type | Individual |
| Full Name | MARK TIMOTHY MCDONALD |
| Practice Address |
456 Elm Ave Long Beach CA 90802-2426 |
| Mailing Address |
633 E 1st St #12 Long Beach CA 90802-5102 |
| Practice Telephone | 5624376717 |
| Practice Fax Number | 5624375072 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2013-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407140106 | Mark W Mcdonald | Emergency Medicine | 629 Winding Brook Ln, Tyler, TX 75703-0832 | 2011-05-31 |
| 1093795122 | Mark Newton Mcdonald | Dentist | Bldg 2441 21st Street, Usa Dentac, Fort Campbell, KY 42223-5369 | 2006-01-17 |
| 1861479479 | Mark C Mcdonald | Physician Assistant | 8700 W Watertown Plank Rd, Orthopaedic Surgery, Milwaukee, WI 53226 | 2005-12-23 |
| 1366837429 | Mark M Mcdonald | Psychiatry & Neurology | 1221 Lee Street, Charlottesville, VA 22908-0816 | 2015-04-05 |
| 1861818494 | Mark Mcdonald | Physical Therapist | 1450 Route 208, Wallkill, NY 12589-3799 | 2014-03-06 |
| 1386078061 | Mark Mcdonald | Counselor | 1202 S James Campbell Blvd, Ste 7a, Columbia, TN 38401-5193 | 2013-08-29 |
| 1750632048 | Mark Zachary Mcdonald | Physical Therapist | 1114 W Jackson St, Ozark, MO 65721-9164 | 2012-09-26 |
| 1144408287 | Mark William Mcdonald | Radiology | 1365 Clifton Rd Ne, Suite A1341, Atlanta, GA 30322-1013 | 2008-01-31 |
| 1770766305 | Mark E Mcdonald | Adult Companion | 2908 Ne Killingsworth St, Portland, OR 97211-6812 | 2007-12-05 |
| 1114116506 | Mark Mcdonald | Psychiatry & Neurology | 11500 W Olympic Blvd, Suite 426, Los Angeles, CA 90064-1524 | 2007-10-22 |
| Street Address |
456 ELM AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649304783 | Esther Wang | Social Worker | 456 Elm Ave, Long Beach, CA 90802-2426 | 2007-03-14 |
| 1942811666 | Adewole Williams | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2020-08-14 |
| 1073143012 | Aubree Skyler Ocana | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2020-01-17 |
| 1235773045 | Parchae Heard | Licensed Psychiatric Technician | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-11-05 |
| 1215579917 | Jasmine Michelle Hernandez | Case Manager/Care Coordinator | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-10-14 |
| 1326699554 | Matthew Brett Ambrose | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-29 |
| 1659920866 | Melissa A Reyna | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-10 |
| 1952950446 | Bradley I Hinds | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-06 |
| 1578112447 | Cora Maxwell Orrett | Registered Nurse | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-04 |
| 1245888726 | Evan Brown Kuchel | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| 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 |
|---|---|---|---|---|
| 1831701937 | Katherine Rose Little | Case Manager/Care Coordinator | 4510 E Pacific Coast Hwy Ste 430, Long Beach, CA 90804-6937 | 2020-08-19 |
| 1093359762 | Somnon Kann | Case Manager/Care Coordinator | 1355 Redondo Ave Ste 9, Long Beach, CA 90804-2845 | 2019-11-05 |
| 1730720954 | Eileen Austria Om | Case Manager/Care Coordinator | 311 E Cummings Ln, Long Beach, CA 90805-1315 | 2019-09-30 |
| 1760949895 | Annabelle Bassalla Simba | Case Manager/Care Coordinator | 3530 Atlantic Ave Ste 200, Long Beach, CA 90807-4569 | 2019-02-25 |
| 1568940518 | Julia Ornelas | Case Manager/Care Coordinator | 40 Alamitos Ave Apt 203, Long Beach, CA 90802-5483 | 2018-08-01 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1033645114 | Cutberto Morales Jr. | Case Manager/Care Coordinator | 200 Pine Ave, Suite 400, Long Beach, CA 90802-3041 | 2017-05-10 |
| 1730614496 | William Woodbury | Case Manager/Care Coordinator | 6321 Coronado Ave, Long Beach, CA 90805-3809 | 2017-05-01 |
| 1932646130 | Melissa Merman | Case Manager/Care Coordinator | 10 Monroe Blvd Apt 3h, Long Beach, NY 11561-4342 | 2017-01-25 |
| 1396295648 | Samuel Lee | Case Manager/Care Coordinator | 1025 Palo Verde Ave, Apt 13, Long Beach, CA 90815-4645 | 2016-10-11 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
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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.