CARISSA PATEL (NPI# 1356891295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356891295 |
| Entity Type | Individual |
| Full Name | CARISSA PATEL |
| Practice Address |
957 Industrial Rd Ste B San Carlos CA 94070 |
| Mailing Address |
200 Pine Ave Ste 400 Long Beach CA 90802-3039 |
| Practice Telephone | 6504452746 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 957 Industrial Rd Ste B, San Carlos, CA 940704152 | 6504452746 |
| Street Address |
957 INDUSTRIAL RD STE B |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356413348 | William A Moya | Counselor | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2006-11-14 |
| 1962046409 | Diana Luykx | Social Worker | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-10-28 |
| 1205478872 | Leslie Rubi Munoz | Counselor | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-10-15 |
| 1104468032 | Homero Carrillo-leon | Community Health Worker | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-10-11 |
| 1184279721 | Arrash Lee Abri | Counselor | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-08-08 |
| 1154974301 | Sofia Abbushi | Counselor | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-07-17 |
| 1407408719 | Estefani Yoselin Gomez Pacheco | Community Health Worker | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-07-16 |
| 1972162709 | Rubi Jesenia Rocha | Community Health Worker | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-06-05 |
| 1881156040 | Christopher David Jones | Counselor | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-04-04 |
| 1902367907 | Connor William Taylor | Counselor | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| 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 |
|---|---|---|---|---|
| 1659918365 | Bruna Emmerich Oliveira | Case Manager/Care Coordinator | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2019-12-02 |
| 1588215099 | Carina Ramirez | Case Manager/Care Coordinator | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2019-09-25 |
| 1174001432 | Petra Carlos Arzate | Case Manager/Care Coordinator | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2018-07-30 |
| 1629580170 | Samantha Nicole Taylor | Case Manager/Care Coordinator | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2017-10-24 |
| 1932659836 | Daniel Sandoval | Case Manager/Care Coordinator | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2016-10-04 |
| 1841748126 | Sara Zamudio Estrada | Case Manager/Care Coordinator | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2016-09-15 |
| 1194172056 | Corina Pena | Case Manager/Care Coordinator | 957 Industrial Rd Suite B, San Carlos, CA 94070 | 2016-05-20 |
| 1619336427 | Jason Miles | Case Manager/Care Coordinator | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2016-02-22 |
| 1083071781 | Jisselle Tercero | Case Manager/Care Coordinator | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2016-01-26 |
| 1265820666 | Humberto Diaz | Case Manager/Care Coordinator | 957 Industrial Rd, San Carlos, CA 94070-4151 | 2015-01-07 |
| Find all providers in SAN CARLOS | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
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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.