MR. CHRONDARIUS TATUM


Address: 1660 Kendall Dr Apt 87, San Bernardino, CA 92407-2859
Phone: 9097719712

MR. CHRONDARIUS TATUM (NPI# 1538617345) 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) 1538617345
Entity Type Individual
Full Name MR. CHRONDARIUS TATUM
Practice Address 1660 Kendall Dr Apt 87
San Bernardino
CA 92407-2859
Practice Telephone 9097719712
Mailing Telephone 9097719712
Enumeration Date 2016-09-21
Last Update Date 2016-09-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator 171M0000X CA Other Service Providers

Office Location

Street Address 1660 KENDALL DR APT 87
City SAN BERNARDINO
State CA
Zip Code 92407-2859

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639789233 Luis Enrique Macias Case Manager/Care Coordinator 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 2020-08-07
1619526209 Louise E Curran Social Worker 6395 N Azalea Ave, San Bernardino, CA 92407 2019-09-06
1619496049 Portia Monique Jackson Licensed Vocational Nurse 1022 Sunbrook Dr., San Bernardino, CA 92407 2017-09-18
1568988467 Jon Michael Hensley Behavior Technician 1638 Windsor Street, San Bernardino, CA 92407 2017-08-22
1063933349 Priority Rounds Transport, L.l.c Non-emergency Medical Transport (VAN) 18245 Evening Primrose Ln, San Bernardino, CA 92407 2017-06-27
1760927263 Denkorach Inc In Home Supportive Care 1265 Kendall Drive, Unit 1614, San Bernardino, CA 92407 2016-12-20
1558606517 Pradeep Amin Pharmacist 4150 N Sierra Way, San Bernardino, CA 92407 2012-12-03
1811231384 Lucindy Thomasina Fuller Rehabilitation Practitioner 1265 Kendall Dr, San Bernardino, CA 92407 2012-11-21
1578793337 Shareela Marie Allen Social Worker 6791 N. Ofeila Drive, San Bernardino, CA 92407 2009-07-15
1720239304 Alejandro Paul Holguin Social Worker 6076 Norma Ln, San Bernardino, CA 92407 2008-10-01
Find all providers in zip 92407

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
1154935492 Julian Ellison Case Manager/Care Coordinator 303 E Vandebilt Way, San Bernardino, CA 92415-0001 2020-09-03
1639789233 Luis Enrique Macias Case Manager/Care Coordinator 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 2020-08-07
1619537016 Shaunice Renee Cox Case Manager/Care Coordinator 1604 Pennsylvania Street, San Bernardino, CA 92411 2019-06-18
1528523065 Leslie Gonzalez Case Manager/Care Coordinator 1982 W 18th St, San Bernardino, CA 92411-1059 2019-02-08
1326520057 Cynthia Gutierrez Case Manager/Care Coordinator 237 E. Mill St., San Bernardino, CA 92408 2018-08-29
1457831398 Omar Torres Case Manager/Care Coordinator 574 N Arrowhead Ave., San Bernardino, CA 92401 2018-08-20
1558841197 Yvette Hinton Case Manager/Care Coordinator 431 Mackay Drive, San Bernardino, CA 92408 2018-08-14
1326557026 Ruben Grajeda Case Manager/Care Coordinator 3561 N F St, San Bernardino, CA 92405-2120 2017-09-25
1225553472 Nicole Dela Cruz Case Manager/Care Coordinator 720 E Gilbert Street, San Bernardino, CA 92415-0001 2017-08-09
1104354539 Llesenia Aleman Case Manager/Care Coordinator 597 North Arrowhead Ave, San Bernardino, CA 92401 2017-05-30
Find all providers in SAN BERNARDINO

Competitor

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City SAN BERNARDINO
Zip Code 92407

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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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