MS. JILL CHACON (NPI# 1669820577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669820577 |
| Entity Type | Individual |
| Full Name | MS. JILL CHACON |
| Credential | BSW |
| Practice Address |
609 5th St Modesto CA 95351-3316 |
| Practice Telephone | 2093410718 |
| Mailing Telephone | 2093410718 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| Street Address |
609 5TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95351-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790813582 | Janene Carol Honberger | Case Manager/Care Coordinator | 609 5th St, Modesto, CA 95351-3316 | 2007-03-01 |
| 1720695414 | Mary English | Technician/Technologist | 609 5th St, Modesto, CA 95351-3316 | 2020-09-26 |
| 1770100588 | Coty Huntley | Technician | 609 5th St, Modesto, CA 95351-3316 | 2020-06-26 |
| 1215553003 | Richard Vernon Search | Technician | 609 5th St, Modesto, CA 95351-3316 | 2020-06-17 |
| 1063038909 | Kelli Jeannine Ott | Technician | 609 5th St, Modesto, CA 95351-3316 | 2020-06-16 |
| 1689201295 | Donnie Carter Jr. | Technician | 609 5th St, Modesto, CA 95351-3316 | 2020-03-24 |
| 1962039701 | Jody Becker | Technician | 609 5th St, Modesto, CA 95351-3316 | 2020-03-23 |
| 1073145140 | Cristian Brittney Mcclure | Technician, Other | 609 5th St, Modesto, CA 95351-3316 | 2020-02-06 |
| 1265075519 | Julia Ann Raistrick | Technician | 609 5th St, Modesto, CA 95351-3316 | 2019-10-18 |
| 1508409962 | Joel Wesley Culver | Technician | 609 5th St, Modesto, CA 95351-3316 | 2019-10-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| Find all providers in zip 95351 | ||||
| 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 |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1154948149 | Lauren N Zampieri | Case Manager/Care Coordinator | 1706 Sandalwood Dr, Modesto, CA 95350-3819 | 2020-06-25 |
| 1487271474 | Jonathan Reinke | Case Manager/Care Coordinator | 605 E Coolidge Ave Apt 21, Modesto, CA 95350-4591 | 2020-06-25 |
| 1699395871 | Andrea Valencia | Case Manager/Care Coordinator | 1095 Carver Rd Unit 213, Modesto, CA 95350-7705 | 2020-04-17 |
| 1649806373 | Harshil Girn | Case Manager/Care Coordinator | 2628 Medinah Ct, Modesto, CA 95355-9666 | 2020-03-13 |
| 1932740693 | Jennifer Rogers | Case Manager/Care Coordinator | 525 S Jefferson St, Modesto, CA 95351-2708 | 2019-10-03 |
| 1710543152 | Nina Lajeen | Case Manager/Care Coordinator | 2109 Norik Dr, Modesto, CA 95355-9155 | 2019-05-10 |
| 1629631106 | Jayne Sharon Nunes | Case Manager/Care Coordinator | 800 Scenic Dr Bldg B, Modesto, CA 95350-6131 | 2019-04-19 |
| 1467937789 | Danica Freitas | Case Manager/Care Coordinator | 4008 Nugget Dr, Modesto, CA 95355-9526 | 2018-10-02 |
| 1538664321 | Melonie Johnson | Case Manager/Care Coordinator | 4417 Crestmont Way, Modesto, CA 95356-9343 | 2018-03-26 |
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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.