STAN CARL PERRYMAN II


Address: 717 Lincoln Blvd, Venice, CA 90291-2845
Phone: 3103999883

STAN CARL PERRYMAN II (NPI# 1689067894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689067894
Entity Type Individual
Full Name STAN CARL PERRYMAN II
Credential AOD COUNSELOR
Practice Address 717 Lincoln Blvd
Venice
CA 90291-2845
Practice Telephone 3103999883
Practice Fax Number 3103999678
Mailing Telephone 3103999883
Mailing Fax Number 3103999678
Enumeration Date 2015-03-12
Last Update Date 2015-03-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator P1402231454 CA Other Service Providers

Office Location

Street Address 717 LINCOLN BLVD
City VENICE
State CA
Zip Code 90291-2845

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114096872 El Dorado Community Service Center Clinic/Center 717 Lincoln Blvd, Venice, CA 90291-2845 2006-11-07
1194323659 Antonio De Jesus Sanchez Counselor 717 Lincoln Blvd, Venice, CA 90291-2845 2020-10-15
1093360331 Sandra Diane Kellar Counselor 717 Lincoln Blvd, Venice, CA 90291-2845 2019-08-05
1215405816 John Edward Rudegeair Counselor 717 Lincoln Blvd, Venice, CA 90291-2845 2018-11-13
1922511401 Christiana Dorian Grotlisch Counselor 717 Lincoln Blvd, Venice, CA 90291-2845 2017-11-07
1184144826 Estefania Bernabe Counselor 717 Lincoln Blvd, Venice, CA 90291-2845 2017-06-23
1730636598 Daniel Bolander Counselor 717 Lincoln Blvd, Venice, CA 90291-2845 2016-09-08
1184179525 American Health Services Exclusive Provider Organization 717 Lincoln Blvd, Venice, CA 90291-2845 2016-08-15
1588016489 Cesia Delacruz Licensed Vocational Nurse 717 Lincoln Blvd, Venice, CA 90291 2016-07-05
1851774913 Wade Taylor Counselor 717 Lincoln Blvd, Venice, CA 90291-2845 2015-07-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033629837 Dylan Booth Dentist 601 Vernon Ave, Venice, CA 90291 2017-10-05
1467979500 Linda Sittler Registered Nurse 1025 Palms Ave, Venice, CA 90291 2017-08-29
1003218660 Patricia Guadalupe Rivas Counselor 717 Lincoln Blvd., Venice, CA 90291 2014-09-25
1497016877 Carrie Lynn Kowalski Physician Assistant 604 Rose Avenue, Venice, CA 90291 2012-06-02
1821364761 Cheryl Lynn Perkins Nutritionist 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 2012-03-26
1629391875 James L. Hoff Optometrist 1636 Abbot Kinney Blvd., Venice, CA 90291 2010-03-02
1720315096 Kristen Nicol Leishman Counselor 911 Coeur D'alene Ave, Venice, CA 90291 2009-11-06
1922237882 David Anthony Garcia Physician Assistant 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 2009-07-13
1548411010 David Watts Acupuncturist 307 S. Robertson Blvd, Beverly Hills, CA 90291 2008-10-02
1184891699 Judy Alexander Voluntary or Charitable 204 Hampton Drive, St Joseph Center, Venice, CA 90291 2008-05-14
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093297830 Christian Alejandro Ramirez Case Manager/Care Coordinator 204 Hampton Dr Apt 13, Venice, CA 90291-2623 2018-08-29
1538497839 Jennifer Lydic Case Manager/Care Coordinator 204 Hampton Dr # 13, Venice, CA 90291-2623 2009-11-24
1396354288 Efren Espinoza Case Manager/Care Coordinator 204 Hampton Dr, Venice, CA 90291-2623 2020-07-27
1831717917 Carla A Gonzalez Case Manager/Care Coordinator 204 Hampton Dr, Venice, CA 90291-2623 2020-07-06
1164049540 Alicia Crooks Case Manager/Care Coordinator 204 Hampton Dr, Venice, CA 90291-2623 2020-07-01
1356968283 Veronica Morrison Case Manager/Care Coordinator 204 Hampton Dr, Venice, CA 90291-2623 2020-06-26
1215553441 Alfonso Martin Case Manager/Care Coordinator 204 Hampton Dr, Venice, CA 90291-2623 2020-06-23
1598394868 Kristina Michelle Goosby Case Manager/Care Coordinator 204 Hampton Dr, Venice, CA 90291-8633 2020-04-07
1558998112 Claudia Cordova Case Manager/Care Coordinator 204 Hampton Dr, Venice, CA 90291-2623 2020-03-24
1881220655 Keith Orr Jr. Case Manager/Care Coordinator 204 Hampton Dr, Venice, CA 90291-8633 2020-03-12
Find all providers in VENICE

Competitor

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City VENICE
Zip Code 90291

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Dataset Information

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.

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