JESSICA NHUNG NGUYEN BEAR (NPI# 1558820175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558820175 |
| Entity Type | Individual |
| Full Name | JESSICA NHUNG NGUYEN BEAR |
| Practice Address |
23701 E East Fork Rd Azusa CA 91702-1477 |
| Mailing Address |
918 W Huntington Dr Apt I Arcadia CA 91007-6584 |
| Practice Telephone | 6262503290 |
| Practice Fax Number | 6269101380 |
| Mailing Telephone | 6266528490 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |
| 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 |
| Street Address |
23701 E EAST FORK RD |
| City | AZUSA |
| State | CA |
| Zip Code | 91702-1477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821126939 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2007-03-01 |
| 1912518135 | Riley Redman | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2020-08-11 |
| 1548893571 | William Robert Hoffman Jr. | Marriage & Family Therapist | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2020-02-18 |
| 1336787092 | Oriana Gregory | Licensed Psychiatric Technician | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-12-12 |
| 1972149417 | Isabel Rosales | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-11-19 |
| 1538704531 | Devon Edward Lucas | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-11-13 |
| 1518509132 | Steven Stanislas Roseren | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-10-15 |
| 1336780816 | Stephanie Marie Hernandez | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-10-04 |
| 1194382317 | Kristin Wopschall | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-05-22 |
| 1902460868 | Leandro Perez IIi | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
| 1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
| 1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
| 1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
| Find all providers in zip 91702 | ||||
| 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 |
|---|---|---|---|---|
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1316061484 | Eufemia Villagran Huertas | Case Manager/Care Coordinator | 5355 Enid Unit D, Azusa, CA 91702 | 2007-03-16 |
| 1265565402 | Teresa Harbin | Case Manager/Care Coordinator | 570 E 6th St, Azusa, CA 91702-3011 | 2007-03-14 |
| 1912518135 | Riley Redman | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2020-08-11 |
| 1972149417 | Isabel Rosales | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-11-19 |
| 1538704531 | Devon Edward Lucas | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-11-13 |
| 1518509132 | Steven Stanislas Roseren | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-10-15 |
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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.