CONNIE MARQUEZ (NPI# 1669086773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669086773 |
Entity Type | Individual |
Full Name | CONNIE MARQUEZ |
Practice Address |
30 Country Wood Dr Pomona CA 91766-4818 |
Mailing Address |
843 W Princeton St Ontario CA 91762-1824 |
Practice Telephone | 9096233400 |
Mailing Telephone | 9092632196 |
Enumeration Date | 2020-09-04 |
Last Update Date | 2020-09-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
30 COUNTRY WOOD DR |
City | POMONA |
State | CA |
Zip Code | 91766-4818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326660044 | Estella J Michael | Case Manager/Care Coordinator | 30 Country Wood Dr, Pomona, CA 91766-4818 | 2020-05-15 |
1376182709 | Tami Tutolo | Case Manager/Care Coordinator | 30 Country Wood Dr, Pomona, CA 91766-4818 | 2020-01-02 |
1811533052 | Jennifer Garcia | Counselor | 30 Country Wood Dr, Pomona, CA 91766-4818 | 2019-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851999494 | Justine Arce | Massage Therapist | 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 | 2020-10-15 |
1699287938 | Monika Stephanie Wan | Pharmacist | 710 Rio Rancho Road, Pomona, CA 91766 | 2017-10-26 |
1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
1770971715 | Hanzel Mendez | Physical Therapist | 1080 Verbena Court, Pomona, CA 91766 | 2014-12-29 |
1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
1134556012 | Imperial Hospice, Inc. | Hospice Care, Community Based | 363 S Park Ave Ste 105, Pomona, CA 91766 | 2013-10-08 |
1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
1245573567 | Terry Chang | Acupuncturist | 3060 W. Temple Ave., Pomona, CA 91766 | 2013-04-04 |
1215271085 | Emmanuel Castro | Counselor | 4 Village Loop, Phillips Ranch, CA 91766 | 2012-11-19 |
Find all providers in zip 91766 |
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 |
---|---|---|---|---|
1043701808 | Crystal T Mitchell | Case Manager/Care Coordinator | 3640 Sumner Ave Apt 104, Pomona, CA 91767-1235 | 2018-05-28 |
1205350295 | Angie Lorraine Gallego-arellano | Case Manager/Care Coordinator | 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 | 2017-08-01 |
1053721019 | Brandi Smith | Case Manager/Care Coordinator | 1414 Val Vista St, Pomona, CA 91768-1339 | 2014-04-30 |
1093099848 | Christy Lee Steider | Case Manager/Care Coordinator | 2379 Wilkie Dr, Pomona, CA 91767-2238 | 2011-09-28 |
1699906230 | English Family Care Home, Inc | Case Manager/Care Coordinator | 984 Russell Pl, Pomona, CA 91767-3330 | 2009-07-30 |
1770608374 | Hope Marie Aguilera | Case Manager/Care Coordinator | 2360 Ann Arbor Ave, Pomona, CA 91766-6418 | 2007-03-20 |
1578687596 | Vikki Lauran Prochorchik | Case Manager/Care Coordinator | 780 W Mission Blvd, Pomona, CA 91766-1537 | 2007-03-16 |
1871194282 | Jessica Lynn Kauffman | Case Manager/Care Coordinator | 845 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-11-03 |
1730789835 | Lareen Gutierrez | Case Manager/Care Coordinator | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-10-28 |
1326660044 | Estella J Michael | Case Manager/Care Coordinator | 30 Country Wood Dr, Pomona, CA 91766-4818 | 2020-05-15 |
Find all providers in POMONA |
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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.