BROCK ELI TROTTER (NPI# 1689702755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689702755 |
| Entity Type | Individual |
| Full Name | BROCK ELI TROTTER |
| Practice Address |
2151 College Ave. Bakersfield CA 93306-2719 |
| Mailing Address |
393 E Walnut St Fl 3 Phr Group Provider Enrollment Unit Pasadena CA 91188-0001 |
| Practice Telephone | 6618687160 |
| Practice Fax Number | 6618687172 |
| Mailing Telephone | 8776080044 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| 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 |
2151 COLLEGE AVE. |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93306-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073910832 | Patience Ime Peters | Registered Nurse | 2151 College Ave., Bakersfield, CA 93305 | 2014-11-21 |
| 1801292271 | Alisha L Barbosa | Student in an Organized Health Care Education/Training Program | 2151 College Ave., Bakersfield, CA 93305 | 2014-11-13 |
| 1336544204 | Lauren A Scott | Student in an Organized Health Care Education/Training Program | 2151 College Ave., Bakersfield, CA 93305 | 2014-11-04 |
| 1114335304 | Dorothy C Aurelio | Student in an Organized Health Care Education/Training Program | 2151 College Ave., Bakersfield, CA 93305 | 2014-07-31 |
| 1396153581 | Princess S Hopkins | Student in an Organized Health Care Education/Training Program | 2151 College Ave., Bakersfield, CA 93305 | 2014-07-31 |
| 1265843254 | Jasmine Villarreal | Student in an Organized Health Care Education/Training Program | 2151 College Ave., Bakersfield, CA 93305 | 2014-05-13 |
| 1588084669 | Andrea M Derrick | Student in an Organized Health Care Education/Training Program | 2151 College Ave., Bakersfield, CA 93305 | 2014-04-16 |
| 1578986337 | Larci Rodart | Student in an Organized Health Care Education/Training Program | 2151 College Ave., Bakersfield, CA 93306 | 2014-01-30 |
| 1669895488 | Emily Monsibais | Case Manager/Care Coordinator | 2151 College Ave., Bakersfield, CA 93305 | 2014-01-30 |
| 1851732838 | Angela Yvette Morris | Licensed Vocational Nurse | 2151 College Ave., Bakersfield, CA 93306 | 2013-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962069559 | Anaheed Ayoobzadehshirazi | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave Bakersfield, Ca 93306, Bakersfield, CA 93306 | 2019-05-20 |
| 1770007049 | Caryn Gover | Speech-Language Pathologist | 3939 Bernard Street, Suite 6, Bakersfield, CA 93306 | 2017-07-28 |
| 1124549829 | Kern Congregate Facility, Inc | Skilled Nursing Facility | 4803 Christmas Tree Ln, Bakersfield, CA 93306 | 2017-07-03 |
| 1497294474 | Pedro Fajardo | Occupational Therapy Assistant | 3796 Dana Street, Bakersfield, CA 93306 | 2017-02-23 |
| 1053864546 | Marisol Rios | Social Worker | 2621 Oswell Street, Ste #119, Bakersfield, CA 93306 | 2016-08-01 |
| 1205295698 | Manjinder Singh | Physical Therapy Assistant | 2701 Bernard St, Apt 71, Bakersfield, CA 93306 | 2016-02-15 |
| 1285007864 | Jessica Sierra | Licensed Vocational Nurse | 1800 Mt. Vernon Ave, Bakersfield, CA 93306 | 2015-11-04 |
| 1801277769 | Special Treatment, Education and Prevention Services | Preferred Provider Organization | 3533 Mt Vernon Ave, Bakersfield, CA 93306 | 2015-06-16 |
| 1538549852 | Bakersfield Specialists Surgical Center, LLC | Clinic/Center | 4500 Morning Drive, Ste. 102, Bakersfield, CA 93306 | 2015-06-02 |
| 1629475538 | Shiva Farvon | Nurse Practitioner | 1700 Mt. Vernon, Bakersfield, CA 93306 | 2014-11-21 |
| Find all providers in zip 93306 | ||||
| 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 |
|---|---|---|---|---|
| 1659978781 | Desiree Alise Vargas | Case Manager/Care Coordinator | 5801 Ming Ave Apt 44, Bakersfield, CA 93309-4614 | 2020-10-01 |
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1992325765 | Universal Healthcare Mso, LLC | Case Manager/Care Coordinator | 8501 Brimhall Rd Bldg 100, Bakersfield, CA 93312-2327 | 2020-04-22 |
| 1063041333 | Luisa Maria Jimenez | Case Manager/Care Coordinator | 3501 Wilson Road, Bakersfield, CA 93304 | 2020-04-07 |
| 1508407537 | Poonam Rufus | Case Manager/Care Coordinator | 10702 Eagle Vista Dr, Bakersfield, CA 93311-9018 | 2019-10-01 |
| 1013564657 | Yahaira Karely Torres | Case Manager/Care Coordinator | 3524 Kennedy Ave, Bakersfield, CA 93309-6110 | 2019-08-19 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1124672589 | Cristina Angelica Diaz | Case Manager/Care Coordinator | 3300 Truxtun Ave Ste 110, Bakersfield, CA 93301-3137 | 2019-07-24 |
| 1841842556 | Gabriela Lopez | Case Manager/Care Coordinator | 3300 Truxtun Ave Fl 2, Bakersfield, CA 93301-3137 | 2019-07-12 |
| 1740744986 | Dora Robledo | Case Manager/Care Coordinator | 1600 E Belle Terrace Avenue, Bakersfield, CA 93307 | 2019-01-22 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93306 |
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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.