TANIA EDITH MONDRAGON (NPI# 1669003794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669003794 |
| Entity Type | Individual |
| Full Name | TANIA EDITH MONDRAGON |
| Practice Address |
1310 Union Plaza Ct Ste 102 Oceanside CA 92054-5655 |
| Practice Telephone | 7604394577 |
| Mailing Telephone | 7604394577 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1310 UNION PLAZA CT STE 102 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054-5655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427372382 | Victoria Lavonne Hernandez | Counselor | 1310 Union Plaza Ct Ste 102, Oceanside, CA 92054-5655 | 2010-03-22 |
| 1982210530 | Graciela Sandoval | Counselor | 1310 Union Plaza Ct Ste 102, Oceanside, CA 92054-5655 | 2020-09-18 |
| 1568085603 | Jodi Wolf | Student in an Organized Health Care Education/Training Program | 1310 Union Plaza Ct Ste 102, Oceanside, CA 92054-5655 | 2020-05-23 |
| 1871017574 | Community Research Foundation Inc | Community/Behavioral Health | 1310 Union Plaza Ct Ste 102, Oceanside, CA 92054-5655 | 2017-08-03 |
| 1962946558 | Melissa Pressley | Case Manager/Care Coordinator | 1310 Union Plaza Ct Ste 102, Oceanside, CA 92054 | 2016-12-15 |
| 1154736908 | Luisa M Guriel | Counselor | 1310 Union Plaza Ct Ste 102, Oceanside, CA 92054 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| 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 |
|---|---|---|---|---|
| 1700412087 | Fatima Fonseca | Case Manager/Care Coordinator | 3355 Mission Ave Ste 237, Oceanside, CA 92058-1322 | 2020-03-18 |
| 1740756857 | Melissa Renee Pirraglio | Case Manager/Care Coordinator | 100 Sportfisher Dr, Oceanside, CA 92054-1904 | 2018-10-16 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1386006062 | Alice Wight | Case Manager/Care Coordinator | 391 Compass Rd, Oceanside, CA 92054-4641 | 2016-03-22 |
| 1730367210 | Mark Polarek | Case Manager/Care Coordinator | 1320 Union Plaza Court, O, Oceanside, CA 92054 | 2008-02-06 |
| 1497952089 | Margarita Jimenez Gonzalez | Case Manager/Care Coordinator | 1444 Lemon St, Oceanside, CA 92054-2617 | 2007-06-28 |
| 1659573418 | Ramona Costa | Case Manager/Care Coordinator | 408 Cassidy St, Oceanside, CA 92054-5316 | 2007-06-04 |
| 1174655930 | Yolanda Sanchez | Case Manager/Care Coordinator | 1305 Union Plaza Ct, Oceanside, CA 92054-5659 | 2007-03-09 |
| 1174124754 | Rey D Suarez | Case Manager/Care Coordinator | 3355 Mission Ave Ste 239, Oceanside, CA 92058-1322 | 2020-11-02 |
| 1598390684 | Melissa Greenway | Case Manager/Care Coordinator | 1100 Sportfisher Dr, Oceanside, CA 92054-2550 | 2020-03-09 |
| Find all providers in OCEANSIDE | ||||
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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.