MR. CANDIDO JASSO (NPI# 1598182008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598182008 |
| Entity Type | Individual |
| Full Name | MR. CANDIDO JASSO |
| Practice Address |
4076 Windridge Circle Las Cruces NM 88012 |
| Mailing Address |
385 Calle De Alegra Ste A Las Cruces NM 88005 |
| Practice Telephone | 5753125939 |
| Mailing Telephone | 5755261105 |
| Mailing Fax Number | 5755244266 |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2016-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 72545 | 05 |
| Street Address |
4076 WINDRIDGE CIRCLE |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972588 | Ashley Ruiz | Behavior Technician | 5210 Cats Eye Road, Las Cruces, NM 88012 | 2018-11-27 |
| 1922549492 | Marisol Olivas Lmft LLC | Community/Behavioral Health | 5019 Kensington Way, Las Cruces, NM 88012 | 2017-03-16 |
| 1487026563 | Ben Archer Health Center | Clinic/Center | 3331 Del Rey Blvd., Las Cruces, NM 88012 | 2015-10-28 |
| 1003214941 | Rosa Smith | Case Manager/Care Coordinator | 5022 Calle De Ranchero, Las Cruces, NM 88012 | 2014-12-09 |
| 1891198081 | Patrick Garcia | Nurse Practitioner | 5819 Coyote Peak Place, Las Cruces, NM 88012 | 2014-10-01 |
| 1134542186 | Dawn Loree Schallock | Registered Nurse | 4675 Peachtree Hills Rd., Las Cruces, NM 88012 | 2014-01-28 |
| 1144642133 | Minerva L Saavedra | Case Manager/Care Coordinator | 3823 Fossil Court, Las Cruces, NM 88012 | 2014-01-10 |
| 1780931089 | Elida Hernandez | Case Manager/Care Coordinator | 5572 La Reina, Las Cruces, NM 88012 | 2012-08-07 |
| 1841546231 | Mary Jane Duran | Case Manager/Care Coordinator | 2882-3 Glass Rd, Las Cruces, NM 88012 | 2012-08-03 |
| 1104140235 | Mona Torres | Behavioral Analyst | 8519 Diamond, Las Cruces, NM 88012 | 2010-03-18 |
| Find all providers in zip 88012 | ||||
| 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 |
|---|---|---|---|---|
| 1447658398 | Jose Renteria | Case Manager/Care Coordinator | 8957 Mission Ln, Las Cruces, NM 88012-6540 | 2014-12-09 |
| 1003214941 | Rosa Smith | Case Manager/Care Coordinator | 5022 Calle De Ranchero, Las Cruces, NM 88012 | 2014-12-09 |
| 1972901973 | Thomas Scarbrough | Case Manager/Care Coordinator | 2948 Cheyenne Dr, Las Cruces, NM 88011-5257 | 2014-12-08 |
| 1124421920 | Abraham Vasquez | Case Manager/Care Coordinator | 3303 Oak St, Las Cruces, NM 88005-7725 | 2014-10-07 |
| 1649672825 | Joel Corral | Case Manager/Care Coordinator | 1505 Roberts Dr, Las Cruces, NM 88005-3159 | 2014-09-19 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| 1801206974 | Sonnie Michelle Sanchez | Case Manager/Care Coordinator | 2211 N. Valley Dr., Las Cruces, NM 88007 | 2014-04-29 |
| 1477973477 | Mary Diane Basler White | Case Manager/Care Coordinator | 1626 E. Las Cruces Ave., Las Cruces, NM 88001 | 2014-04-17 |
| 1376963462 | Nora Garcia | Case Manager/Care Coordinator | 4331 Soda Spring Dr., Las Cruces, NM 88011 | 2014-04-16 |
| 1932528171 | Carrie A Jones | Case Manager/Care Coordinator | 2211 N. Valley, Las Cruces, NM 88007 | 2014-04-15 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88012 |
Please comment or provide details below to improve the information on MR. CANDIDO JASSO.
| 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.