MISS SHANTAL ARELIS DOMINGUEZ (NPI# 1629247861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629247861 |
| Entity Type | Individual |
| Full Name | MISS SHANTAL ARELIS DOMINGUEZ |
| Credential | B.A. |
| Practice Address |
1359 N Grand Ave Covina CA 91724-1016 |
| Mailing Address |
116 Pinewood Pl Glendora CA 91741-3640 |
| Practice Telephone | 6264302900 |
| Practice Fax Number | 6263310035 |
| Mailing Telephone | 9095447276 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LA COUNTY DMH | ICAN796 | 01 |
| Street Address |
1359 N GRAND AVE |
| City | COVINA |
| State | CA |
| Zip Code | 91724-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356355614 | Los Angeles County Department of Mental Health | Clinic/Center | 1359 N Grand Ave, Covina, CA 91724-1016 | 2006-07-29 |
| 1053918789 | Paloma Saldana | Counselor | 1359 N Grand Ave, Covina, CA 91724-1016 | 2020-10-06 |
| 1821603929 | Cassandra Lawson | Student in an Organized Health Care Education/Training Program | 1359 N Grand Ave, Covina, CA 91724-1016 | 2020-09-15 |
| 1831717750 | Melissa Guadalupe Diaz | Community Health Worker | 1359 N Grand Ave, Covina, CA 91724-1016 | 2020-07-07 |
| 1518589266 | County of Los Angeles | Clinic/Center | 1359 N Grand Ave, Covina, CA 91724-1016 | 2020-05-15 |
| 1841753514 | Natalie I Vasquez | Community Health Worker | 1359 N Grand Ave, Covina, CA 91724-1016 | 2019-04-10 |
| 1467955203 | Teri Ferrieri | Counselor | 1359 N Grand Ave, Covina, CA 91724-1016 | 2018-03-16 |
| 1366940611 | John Matthew Adriatico | Community Health Worker | 1359 N Grand Ave, Covina, CA 91724-1016 | 2018-01-31 |
| 1720586563 | Isabel G Romero | Community Health Worker | 1359 N Grand Ave, Covina, CA 91724-1016 | 2018-01-26 |
| 1679082515 | Paul Gift Paseli | Psychologist | 1359 N Grand Ave, Covina, CA 91724-1016 | 2017-09-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320922 | Kimberly Suzanne Manzanares-mora | Rehabilitation Practitioner | 1359 North Grand Avenue, Covina, CA 91724 | 2017-08-01 |
| 1689194680 | Cynthia Garcia | Counselor | 1359 N. Grand Ave., Covina, CA 91724 | 2017-06-21 |
| 1386191963 | West Covina Group Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1274 Center Court Dr, #208, Covina, CA 91724 | 2016-09-01 |
| 1184094781 | Veronica May Roberts | Licensed Vocational Nurse | 222 S. Wilson Ave, Covina, CA 91724 | 2015-09-25 |
| 1912216292 | Joan Mendoza | Social Worker | 1338 Center Court Dr Ste 107, Covina, CA 91724 | 2010-10-04 |
| 1548583602 | Lille-anne Nzeribe | Rehabilitation Practitioner | 1126 N. Grand Ave. Suite D, Covina, CA 91724 | 2010-03-03 |
| 1154534212 | Verna L Lewis | Marriage & Family Therapist | 420 South Grand Ave., Covina, CA 91724 | 2007-05-07 |
| 1093937310 | Heather Annn Pedevillano | Specialist/Technologist | 1805 E. Lomira Dr, Covina, CA 91724 | 2007-05-03 |
| 1669503579 | Maritza Mercedes Reyes | Rehabilitation Practitioner | 1411 N. Grand Ave., Covina, CA 91724 | 2007-03-09 |
| 1417014085 | Bernadette Luyun Guaring Bagay | Dentist | 984 E Badillo St, Suite E, Covina, CA 91724 | 2007-01-03 |
| Find all providers in zip 91724 | ||||
| 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 |
|---|---|---|---|---|
| 1194384412 | Amber Castro | Case Manager/Care Coordinator | 16766 E Benbow St, Covina, CA 91722-2410 | 2019-06-10 |
| 1841674983 | John Catania | Case Manager/Care Coordinator | 4670 North Hollenbeck Ave, Covina, CA 91722 | 2015-07-18 |
| 1588059596 | Lacey Sloan | Case Manager/Care Coordinator | 972 E Ranchcreek Rd, Covina, CA 91724-3651 | 2015-04-06 |
| 1801218482 | Marisela Hernandez | Case Manager/Care Coordinator | 1109 W Fredkin Dr, Covina, CA 91722-3114 | 2014-01-15 |
| 1174967863 | Tony Allmond Iv | Case Manager/Care Coordinator | 256 W Badillo St, Egglseton Youth Services, Covina, CA 91723 | 2013-04-24 |
| 1144589912 | Jean Elizabeth Flores | Case Manager/Care Coordinator | 1274 Center Court Dr Ste 211, Covina, CA 91724-3668 | 2012-05-14 |
| 1366716482 | Debra Levray | Case Manager/Care Coordinator | 508-510 S. Second Avenue, Covina, CA 91723 | 2012-03-07 |
| 1467586586 | Magnolia Rodriguez | Case Manager/Care Coordinator | 110 S Waterbury Ave, Covina, CA 91722-4140 | 2007-03-14 |
| 1881722767 | Linda Marie Caldwell | Case Manager/Care Coordinator | 510 S 2nd Ave Ste 7, Covina, CA 91723-3017 | 2007-03-01 |
| 1245837673 | Clara D Martinez | Case Manager/Care Coordinator | 535 S 2nd Ave, Covina, CA 91723-3013 | 2020-10-08 |
| Find all providers in COVINA | ||||
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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.