JOSE LUIS GUILLEN (NPI# 1619532058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619532058 |
| Entity Type | Individual |
| Full Name | JOSE LUIS GUILLEN |
| Practice Address |
301 E 13th St Merced CA 95341-6211 |
| Practice Telephone | 2093816800 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639524333 | Jose Enrique Guillen Jr. | Physician Assistant | 1715 Childerlee Ln Ne, Atlanta, GA 30329-2434 | 2016-05-01 |
| 1992192637 | Jose Guillen | Nurse Practitioner | 1670 E 120th St, Los Angeles, CA 90059-3026 | 2015-04-21 |
| 1396978805 | Jose O Guillen | Dentist | 8961 W Sahara Ave Ste 108, Las Vegas, NV 89117-5831 | 2009-08-31 |
| Street Address |
301 E 13TH ST |
| City | MERCED |
| State | CA |
| Zip Code | 95341-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295706661 | Ivan L Ventura | Physician Assistant | 301 E 13th St, Merced, CA 95340-6211 | 2006-02-01 |
| 1629688627 | Amanda Laura Aguilar | Case Manager/Care Coordinator | 301 E 13th St, Merced, CA 95341-6211 | 2020-08-04 |
| 1609491745 | Hector Aaron Isas | Case Manager/Care Coordinator | 301 E 13th St, Merced, CA 95341-6211 | 2020-06-15 |
| 1316561780 | Tiara Munoz | Case Manager/Care Coordinator | 301 E 13th St, Merced, CA 95341-6211 | 2020-06-02 |
| 1104453679 | Crystal Marie Juarez | Licensed Vocational Nurse | 301 E 13th St, Merced, CA 95341-6211 | 2020-03-25 |
| 1033749874 | Rosezett Flores Barragan | Licensed Vocational Nurse | 301 E 13th St, Merced, CA 95341-6211 | 2020-01-21 |
| 1619517877 | Natasha Zahid | Counselor | 301 E 13th St, Merced, CA 95341-6211 | 2020-01-15 |
| 1225677867 | Keng Kue Vue | Peer Specialist | 301 E 13th St, Merced, CA 95341-6211 | 2019-12-30 |
| 1902444706 | Melyssa Lynn Summers | Licensed Vocational Nurse | 301 E 13th St, Merced, CA 95341-6211 | 2019-12-12 |
| 1306483672 | Amanda Beliveau | Peer Specialist | 301 E 13th St, Merced, CA 95341-6211 | 2019-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942520 | Samantha Canal | Counselor | 300 E 13th St Suite C, Merced, CA 95341 | 2020-08-11 |
| 1043874100 | Phyllis A Patterson | Peer Specialist | 490 E 13th Street, Merced, CA 95341 | 2019-04-24 |
| 1093209488 | Cierra Nicole Sweet | Case Manager/Care Coordinator | 490 E 13th St, Merced, CA 95341 | 2018-06-19 |
| 1528444148 | Mirian Cardenas | Counselor | 301 E 13th St Ste D, Merced, CA 95341 | 2015-08-05 |
| 1962839290 | Jessica Perez | Counselor | 480 East 13th Street, Building, Merced, CA 95341 | 2013-10-01 |
| 1235417171 | Mayla T Carlos | Physician Assistant | 847 W. Childs Ave., Merced, CA 95341 | 2011-07-26 |
| 1588951883 | Altia N Johnson | Registered Nurse | 260 E 15th Street, Merced, CA 95341 | 2011-07-07 |
| 1598061657 | County of Merced | Clinic/Center | 490 E. 13th Street, Merced, CA 95341 | 2011-02-07 |
| 1275710741 | Kathryn Renee Rodriguez | Social Worker | 2777 N Highway 59, Merced County Adult Services, Merced, CA 95341 | 2008-01-28 |
| 1700060324 | Irene Miranda-henson | Registered Nurse | 797 West Childs Avenue, Merced, CA 95341 | 2007-12-18 |
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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 |
|---|---|---|---|---|
| 1336750025 | Harvey Soza | Case Manager/Care Coordinator | 2764 Madrid Ave, Merced, CA 95348-1337 | 2020-08-14 |
| 1457995581 | Arleen Lopez | Case Manager/Care Coordinator | 1209 Devonwood Dr Apt 101, Merced, CA 95348-1710 | 2019-11-01 |
| 1669036281 | Cheng Thao | Case Manager/Care Coordinator | 301 E 13th St Ste E, Merced, CA 95341-6211 | 2019-04-29 |
| 1922566025 | Michelle Chao Lee | Case Manager/Care Coordinator | 3360 North Hwy 59 Suite K, Merced, CA 95348 | 2019-03-07 |
| 1942779558 | Naly Thao | Case Manager/Care Coordinator | 3360 N Highway 59 Ste 9, Merced, CA 95348-9404 | 2018-11-13 |
| 1093209488 | Cierra Nicole Sweet | Case Manager/Care Coordinator | 490 E 13th St, Merced, CA 95341 | 2018-06-19 |
| 1801398839 | Elisabet Pulido | Case Manager/Care Coordinator | 3360 N State Hwy 59, K, Merced, CA 95348 | 2018-03-06 |
| 1780105346 | Cristian Gerardo Rendon | Case Manager/Care Coordinator | 89 E Sonoma St, Merced, CA 95341-7003 | 2017-07-04 |
| 1881134997 | Carolina Romero | Case Manager/Care Coordinator | 3360 N Hwy Suite K, Merced, CA 95348 | 2017-03-08 |
| 1114465390 | Emily Valentine | Case Manager/Care Coordinator | 3360 N State Highway 59, Suite K, Merced, CA 95348-9404 | 2017-02-07 |
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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.