TRACY LEVY (NPI# 1366576746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366576746 |
| Entity Type | Individual |
| Full Name | TRACY LEVY |
| Practice Address |
20401 Roscoe Blvd Canoga Park CA 91306-1827 |
| Mailing Address |
5510 Sepulveda Blvd Apt 307 Sherman Oaks CA 91411-4507 |
| Practice Telephone | 8189981565 |
| Practice Fax Number | 8182801880 |
| Mailing Telephone | 8189981565 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2013-05-15 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750526901 | Tracy Leigh Levy | Occupational Therapist | 48 Kyle Dr, Garner, NC 27529-7535 | 2008-12-02 |
| 1871773697 | Tracy Lee Levy | Pediatrics | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2007-11-08 |
| Street Address |
20401 ROSCOE BLVD |
| City | CANOGA PARK |
| State | CA |
| Zip Code | 91306-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856555 | California Physician Network LLC | Non-emergency Medical Transport (VAN) | 7657 Winnetka #712, Winnetka, CA 91306 | 2017-08-08 |
| 1073069373 | Mostafa Ahady | Optometrist | 7044 Oakdale Ave., Winnetka, CA 91306 | 2016-08-28 |
| 1922457340 | Evelin Garcia Psy.d. A Psychological Corporation | Community/Behavioral Health | 20832 Roscoe Blvd. Ste.202, Winnetka, CA 91306 | 2016-06-07 |
| 1104290485 | Edmond Reyhani | Pharmacist | 20839 W Roscoe Blvd, Winnetka, CA 91306 | 2015-11-24 |
| 1558730770 | Lester Antonio Marlin | Rehabilitation Practitioner | 20325 Sherman Way, Apt44, Winnetka, CA 91306 | 2015-09-17 |
| 1336578228 | Charmaine Fermin | Counselor | 20225 Cohasset St, Winnetka, CA 91306 | 2013-11-01 |
| 1669740429 | Robert Hazany | Dentist | 20832 Roscoe Blvd #101, Canoga Park, CA 91306 | 2011-12-08 |
| 1912223983 | Intrepid Anesthesia Associates Corporation | Anesthesiology | 427 W. Pueblo St., Santa Barbara, CA 91306 | 2010-04-15 |
| 1235315656 | Angelica Yerena | Marriage & Family Therapist | 20233 Lanark, Winnetka, CA 91306 | 2008-01-16 |
| 1205054434 | Winnetka Medical Group Inc | Family Medicine | 6742 Winnetka Ave, Winnetka, CA 91306 | 2007-04-23 |
| Find all providers in zip 91306 | ||||
| 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 |
|---|---|---|---|---|
| 1255781290 | Julian Salas | Case Manager/Care Coordinator | 7551 Jordan Ave Unit 402, Canoga Park, CA 91303-3374 | 2016-06-21 |
| 1467911248 | Kelly Petrula | Case Manager/Care Coordinator | 8514 Topanga Canyon Blvd, Canoga Park, CA 91304-2348 | 2019-03-19 |
| 1063971406 | Mary Keesey | Case Manager/Care Coordinator | 6800 Owensmouth Ave Ste 160, Canoga Park, CA 91303-4255 | 2019-03-15 |
| 1528524527 | Michael Morales | Case Manager/Care Coordinator | 8514 Topanga Canyon Blvd, Canoga Park, CA 91304-2348 | 2019-02-14 |
| 1447734801 | Nicole Bradley-bibbs | Case Manager/Care Coordinator | 6800 Owensmouth Ave Ste 160, Canoga Park, CA 91303-4255 | 2018-09-21 |
| 1811474794 | Chael Cameron Dooley | Case Manager/Care Coordinator | 6800 Owensmouth Ave Ste 160, Canoga Park, CA 91303-4255 | 2018-07-24 |
| 1316439433 | Dalia Limon | Case Manager/Care Coordinator | 8399 Topanga Canyon Blvd Ste 303, Canoga Park, CA 91304-2354 | 2018-06-04 |
| 1922598846 | Marlene Ripley | Case Manager/Care Coordinator | 6800 Owensmouth Ave Ste 160, Canoga Park, CA 91303-4255 | 2018-05-16 |
| 1720576135 | Olga Lizzette Ruiz | Case Manager/Care Coordinator | 6800 Owensmouth Ave Ste 160, Canoga Park, CA 91303-4255 | 2018-05-01 |
| 1124543525 | Rosario Mendoza | Case Manager/Care Coordinator | 8399 Topanga Canyon Blvd Ste 303, Canoga Park, CA 91304-2354 | 2017-08-07 |
| Find all providers in CANOGA PARK | ||||
| City | CANOGA PARK |
| Zip Code | 91306 |
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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.