MR. TYRONE ANDERSON (NPI# 1558921510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558921510 |
| Entity Type | Individual |
| Full Name | MR. TYRONE ANDERSON |
| Credential | BA |
| Practice Address |
9925 International Blvd Oakland CA 94603-2558 |
| Mailing Address |
17249 Via Melina San Lorenzo CA 94580-2660 |
| Practice Telephone | 5107771177 |
| Mailing Telephone | 5108509261 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215915988 | Tyrone Charles Anderson Jr. | Technician, Other | Comdt (cg-1122), U.S. Coast Guard2100 2nd St Sw, Suite 5314, Washington, DC 20593-0001 | 2006-01-04 |
| 1326536376 | Tyrone Anderson | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2018-04-25 |
| 1740781129 | Tyrone Anderson | Counselor | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2018-02-22 |
| 1184866501 | Tyrone James Anderson | Case Manager/Care Coordinator | 1310 Tully Rd Ste 101, San Jose, CA 95122-3054 | 2009-03-31 |
| Street Address |
9925 INTERNATIONAL BLVD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94603-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250998 | East Oakland Obs Gyn Med Gp Inc | Obstetrics & Gynecology | 9925 International Blvd, Ste 1, Oakland, CA 94603 | 2005-07-27 |
| 1912539966 | Keyona Boykin | Nurse Practitioner | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-02-07 |
| 1861023640 | Kayla Perry | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1558992347 | Raven Dixon | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1831720630 | Macy Dion Harris | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1073144812 | Kye Duren | Case Management | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1699305565 | Phyllis Marie Brown-little | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-20 |
| 1104466549 | Tavare Williams Sr. | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-14 |
| 1477196210 | Rafael Kenney | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2019-10-24 |
| 1174177679 | Megan Richardson | Family Medicine | 9925 International Blvd, Oakland, CA 94603-2558 | 2019-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235694092 | Kimberlyn Taylor | Behavioral Analyst | 11042 Robledo Dr, Oakland, CA 94603 | 2019-02-06 |
| 1114414315 | Christopher Maurice Cain | Community Health Worker | 9925 International Blvd #5, Oakland, CA 94603 | 2018-04-13 |
| 1720508039 | Jessie James King Jr. | Counselor | 9925 International Blvd Suite #5, 9925 International Blvd Suite #5, Oakland, CA 94603 | 2017-06-27 |
| 1619426475 | Susana Obispo | Counselor | 10429 International Boulevard, Oakland, CA 94603 | 2016-09-22 |
| 1760764955 | Paul E Rammer | Marriage & Family Therapist | 1523 Chandler Street, Oakland, CA 94603 | 2011-09-13 |
| 1285184846 | Sharrise Williams | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
| 1659821213 | Linna Hov | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
| 1699729426 | Robert Scott Millard | Physical Medicine & Rehabilitation | 500 Arguello Street, Suite 100, Redwood City, CA 94603 | 2006-05-19 |
| 1982920542 | Alwaha Travel Agency for Hajj and Umrah LLC | Non-emergency Medical Transport (VAN) | 60 98th Ave Ste 100, Oakland, CA 94603-1000 | 2010-04-07 |
| 1336637644 | Carlos Leonel Lopez | Technician, Other | 301 Clara St, Oakland, CA 94603-1101 | 2018-04-23 |
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| 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 |
|---|---|---|---|---|
| 1710596044 | Michael Holloway | Case Manager/Care Coordinator | 400 Broadway Fl 3, Oakland, CA 94607-3807 | 2020-07-22 |
| 1073130746 | Anaszsa Thompson | Case Manager/Care Coordinator | 1111 Jackson St, Oakland, CA 94607-4807 | 2020-06-29 |
| 1992321715 | Lorena Gomez-melano | Case Manager/Care Coordinator | 400 Broadway Rm 317, Oakland, CA 94607-3807 | 2020-06-17 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1972127546 | Dystany Leann Kuykendall | Case Manager/Care Coordinator | 1700 Broadway Fl 5 and 9, Oakland, CA 94612-2141 | 2020-05-29 |
| 1497310098 | Marisol Rodriguez-sanchez | Case Manager/Care Coordinator | 6221 E 17th St, Oakland, CA 94621-4107 | 2019-05-08 |
| 1780140723 | Bessie Yazmin Tejada | Case Manager/Care Coordinator | 1904 Franklin St Ste 418, Oakland, CA 94612-2927 | 2019-02-14 |
| 1366923369 | Rhummanee Hang | Case Manager/Care Coordinator | 544 International Blvd., Suite #9, Oakland, CA 94606 | 2018-08-27 |
| 1710479746 | Candace Yolanda Kirven-prayer | Case Manager/Care Coordinator | 150 Frank H Ogawa Plz Ste 4340, Oakland, CA 94612-2092 | 2018-06-05 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
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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.