MISS DEVERA MARIE WATERHOUSE (NPI# 1649582776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649582776 |
| Entity Type | Individual |
| Full Name | MISS DEVERA MARIE WATERHOUSE |
| Practice Address |
420 S San Pedro St Ste G4 Los Angeles CA 90013-1938 |
| Practice Telephone | 2136205712 |
| Practice Fax Number | 2136214155 |
| Mailing Telephone | 2136205712 |
| Mailing Fax Number | 2136214155 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2013-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
420 S SAN PEDRO ST STE G4 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90013-1938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841636610 | Lacey L Barnes | Student in an Organized Health Care Education/Training Program | 420 S San Pedro St Ste G4, Los Angeles, CA 90013-1938 | 2013-05-20 |
| 1497096838 | Steve E Avalos | Student in an Organized Health Care Education/Training Program | 420 S San Pedro St Ste G4, Los Angeles, CA 90013-1938 | 2013-03-11 |
| 1275874612 | Esmeralda Ramos | Student in an Organized Health Care Education/Training Program | 420 S San Pedro St Ste G4, Los Angeles, CA 90013-1938 | 2013-03-11 |
| 1659612091 | Freddy J Chavez | Student in an Organized Health Care Education/Training Program | 420 S San Pedro St Ste G4, Los Angeles, CA 90013-1938 | 2013-03-11 |
| 1508105859 | Christina Renae Rodriguez | Case Manager/Care Coordinator | 420 S San Pedro St Ste G4, Los Angeles, CA 90013-1938 | 2013-02-06 |
| 1528319019 | Bethany Joy Cook | Student in an Organized Health Care Education/Training Program | 420 S San Pedro St Ste G4, Los Angeles, CA 90013-1938 | 2012-09-25 |
| 1306196597 | Allison Mcquiston Reynolds | Student in an Organized Health Care Education/Training Program | 420 S San Pedro St Ste G4, Los Angeles, CA 90013-1938 | 2012-09-14 |
| 1467701466 | Denica Gordon Mandel | Student in an Organized Health Care Education/Training Program | 420 S San Pedro St Ste G4, Los Angeles, CA 90013-1938 | 2012-09-05 |
| 1215286224 | Tracy Merrill Vris | Student in an Organized Health Care Education/Training Program | 420 S San Pedro St Ste G4, Los Angeles, CA 90013-1938 | 2012-09-05 |
| 1164770095 | Jeremiah Joseph Madero | Case Manager/Care Coordinator | 420 S San Pedro St Ste G4, Los Angeles, CA 90013-1938 | 2012-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013470327 | Mia Rashap | Technician, Other | 555 W 5th St, Los Angeles, CA 90013 | 2019-04-12 |
| 1992263941 | Shiane Lyana Ferretti | Technician, Other | 555 West 5th Street, Los Angeles, CA 90013 | 2019-03-08 |
| 1629567060 | Dtla Med | Clinic/Center | 431 S Hewitt St Ste B, Los Angeles, CA 90013 | 2018-05-01 |
| 1386150886 | Abel Joseph Apodaca Jr. | Counselor | 512 East 4th Street, Los Angeles, CA 90013 | 2017-12-19 |
| 1578075560 | Anthony Perez | Case Manager/Care Coordinator | 522 S San Pedro, Los Angeles, CA 90013 | 2017-10-30 |
| 1740724574 | Royalty Group Services Inc | Clinic/Center | 555 West Fifth Street 31st Floor, Los Angeles, CA 90013 | 2016-12-13 |
| 1275930877 | Araceli Zuniga | Rehabilitation Practitioner | 640 South Maple Avenue, Los Angeles, CA 90013 | 2014-11-25 |
| 1558785956 | Carlos Mejia | Counselor | 470 E. 3rd St., Los Angeles, CA 90013 | 2014-02-06 |
| 1679908081 | Troy Gabrielson | Counselor | 470 E. 3rd Street, Suite C, Los Angeles, CA 90013 | 2013-09-05 |
| 1417298753 | Pierre Houbein | Physician Assistant | 311 Winston St., Los Angeles, CA 90013 | 2013-03-12 |
| Find all providers in zip 90013 | ||||
| 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 |
|---|---|---|---|---|
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1245855725 | Ashley Ivette Berumen | Case Manager/Care Coordinator | 1900 W Slauson Ave, Los Angeles, CA 90047-1129 | 2020-06-10 |
| 1356965776 | Jennifer Yanovski | Case Manager/Care Coordinator | 316 W 2nd St Ste 202, Los Angeles, CA 90012-3527 | 2020-06-01 |
| 1841820560 | Kiara Imani Thomas | Case Manager/Care Coordinator | 226 E 103rd St, Los Angeles, CA 90003-4720 | 2020-01-22 |
| 1023648748 | Christopher Rivas | Case Manager/Care Coordinator | 1410 N Kenmore Ave Apt 5, Los Angeles, CA 90027-5826 | 2020-01-22 |
| 1396383782 | Candace Laolagi | Case Manager/Care Coordinator | 246 E 47th St, Los Angeles, CA 90011-3908 | 2019-12-16 |
| 1902448343 | Aster Libasu | Case Manager/Care Coordinator | 2619 Wilshire Blvd Apt 1005, Los Angeles, CA 90057-3461 | 2019-10-16 |
| 1831749456 | Jasmine Lynn Martinez | Case Manager/Care Coordinator | 6768 Lexington Ave, Los Angeles, CA 90038-1234 | 2019-09-16 |
| 1033762547 | John Charles Gutierrez | Case Manager/Care Coordinator | 4265 S Normandie Ave, Los Angeles, CA 90037-2324 | 2019-07-23 |
| 1609429976 | Vianey Colon | Case Manager/Care Coordinator | 11601 S Western Ave # O, Los Angeles, CA 90047-5006 | 2019-07-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90013 |
Please comment or provide details below to improve the information on MISS DEVERA MARIE WATERHOUSE.
| 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.