CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC (NPI# 1649835752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649835752 |
Entity Type | Organization |
Organization Name | CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC |
Other Organization Name | SAN YSIDRO HEALTH |
Practice Address |
1800 Maxwell Rd Chula Vista CA 91911-6158 |
Mailing Address |
1601 Precision Park Ln San Diego CA 92173 |
Practice Telephone | 6192056349 |
Mailing Telephone | 6192056349 |
Enumeration Date | 2019-05-03 |
Last Update Date | 2020-01-14 |
Authorized Official Name | ANTONIETTA MCGUIRK (DIRECTOR OF REVENUE CYCLE) |
Authorized Official Telephone | 6196624140 |
Is Organization Subpart | 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 |
---|---|---|---|
CA | 1952364747 | 05 |
Other Name | Type Code |
---|---|
San Ysidro Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366053167 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 333 H St Ste 2080, Chula Vista, CA 91910-5558 | 2020-08-14 |
1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
1821625278 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 292 Euclid Ave Ste 210, San Diego, CA 92114-3629 | 2020-03-25 |
1184135873 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 855 3rd Ave Ste 2200, Chula Vista, CA 91911-1353 | 2017-10-20 |
Street Address |
1800 MAXWELL RD |
City | CHULA VISTA |
State | CA |
Zip Code | 91911-6158 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316565419 | Karen Itzayana Bahena | Case Manager/Care Coordinator | 1800 Maxwell Rd, Chula Vista, CA 91911-6158 | 2020-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
Find all providers in zip 91911 |
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 |
---|---|---|---|---|
1164074910 | Isaiah Nigel Ledonne | Case Manager/Care Coordinator | 746 Ada St Ste 106, Chula Vista, CA 91911-2676 | 2019-07-11 |
1609331669 | Dayna Lopez | Case Manager/Care Coordinator | 865 Third Ave Ste 1110, Chula Vista, CA 91911-1300 | 2019-02-04 |
1437628732 | Angela Andrea Tomlinson | Case Manager/Care Coordinator | 1653 Albany Ave, Chula Vista, CA 91911-5801 | 2018-11-15 |
1932683158 | Laura Soto | Case Manager/Care Coordinator | 915 Fourth Ave, Chula Vista, CA 91911-2083 | 2018-09-24 |
1871092379 | Asuzena Larez | Case Manager/Care Coordinator | 746 Ada St, Chula Vista, CA 91911-2693 | 2018-02-09 |
1114374121 | Rosa Maria Arce | Case Manager/Care Coordinator | 430 F St., Chula Vista, CA 91910 | 2016-05-19 |
1023476645 | Gisela Moreno | Case Manager/Care Coordinator | 430 F. St, Chula Vista, CA 91910 | 2016-02-10 |
1639575558 | Denise Diaz | Case Manager/Care Coordinator | 430 F Street, Chula Vista, CA 91910 | 2014-11-05 |
1033514104 | Gabriela Huerta | Case Manager/Care Coordinator | 996 Bellflower Ct, Chula Vista, CA 91913-2873 | 2014-10-30 |
1932514924 | Giovan Hernandez | Case Manager/Care Coordinator | 1196 3rd Ave Ste C, Chula Vista, CA 91911-3131 | 2014-06-27 |
Find all providers in CHULA VISTA |
City | CHULA VISTA |
Zip Code | 91911 |
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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.