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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | P1402231454 | CA | Other Service Providers |
Street Address |
717 LINCOLN BLVD |
City | VENICE |
State | CA |
Zip Code | 90291-2845 |
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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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 |
Find all providers in zip 90291 |
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 |
---|---|---|---|---|
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 |
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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.