MR. GUSTAVO BALDERAS (NPI# 1730213117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730213117 |
| Entity Type | Individual |
| Full Name | MR. GUSTAVO BALDERAS |
| Practice Address |
2101 Geer Rd Ste 120 Turlock CA 95382-2454 |
| Practice Telephone | 2096648044 |
| Practice Fax Number | 2096648036 |
| Mailing Telephone | 2096648044 |
| Mailing Fax Number | 2096648036 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| 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 |
2101 GEER RD STE 120 |
| City | TURLOCK |
| State | CA |
| Zip Code | 95382-2454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790765428 | Rodney J Avilla | Family Medicine | 2101 Geer Rd, #303, Turlock, CA 95382 | 2006-01-19 |
| 1265931760 | Bergen Filgas | Marriage & Family Therapist | 2101 Geer Rd, Turlock, CA 95382-2454 | 2018-02-09 |
| 1356791099 | Mercy West Urgent Care Inc | Emergency Medicine | 2101 Geer Rd, 108 and 111, Turlock, CA 95382-2454 | 2016-06-14 |
| 1699150664 | Carlie Amacher | Counselor | 2101 Geer Rd, Turlock, CA 95382-2454 | 2015-07-20 |
| 1194146837 | Leann Wesner | Marriage & Family Therapist | 2101 Geer Rd, G - 304, Turlock, CA 95382-2454 | 2013-12-24 |
| 1760677934 | Rita P Ruiz-madero | Counselor | 2101 Geer Rd, Turlock, CA 95382 | 2007-09-11 |
| 1629195615 | Deborah Suzanne Roberts | Registered Nurse | 2101 Geer Rd, Suite120, Turlock, CA 95382-2454 | 2007-03-23 |
| 1609993120 | Carlos Rodriguez | Counselor | 2101 Geer Rd, Suite 120, Turlock, CA 95382-2454 | 2007-03-22 |
| 1154455822 | Tanya Marie Mangum | Social Worker | 2101 Geer Rd, Ste. 120, Turlock, CA 95382-2454 | 2007-03-15 |
| 1962534271 | Ronald Ashlock | Counselor | 2101 Geer Rd, Suite 120, Turlock, CA 95382-2454 | 2007-03-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710546536 | S.h.desai, D.d.s. Dental Corporation | Dentist | 3960 Geer Rd, Turlock, CA 95382 | 2019-06-06 |
| 1063982403 | Sangho N/a Cho | Occupational Therapy Assistant | 3025 West Christoffersen Pkwy, Turlock, CA 95382 | 2018-11-28 |
| 1669957254 | Leah Griffith | Behavioral Analyst | 4252 Bardini Way, Turlock, CA 95382 | 2018-09-28 |
| 1508344417 | Aspiranet | Community/Behavioral Health | 1145 W Tuolumne Rd, Turlock, CA 95382 | 2018-08-02 |
| 1730618174 | Hannah Roach | Case Manager/Care Coordinator | 4650 N Olive Ave, Turlock, CA 95382 | 2017-06-08 |
| 1801332960 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2701 N. Berkeley Ave., Turlock, CA 95382 | 2017-01-13 |
| 1205209723 | Caremore Health Plan | Nurse Practitioner | 1000 Delbon Avenue, Suite 5, Turlock, CA 95382 | 2015-11-05 |
| 1942615836 | Michael Collins | Emergency Medical Technician, Basic | 1890 Trail Way, Turlock, CA 95382 | 2014-06-30 |
| 1720493042 | Brandi Purpura | Physical Therapy Assistant | 3800 Geer Rd #101, Turlock, CA 95382 | 2014-06-25 |
| 1255751582 | Erin Hannink | Physical Medicine & Rehabilitation | 3800 Geer Rd Suite 101, Turlock, CA 95382 | 2014-04-25 |
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| 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 |
|---|---|---|---|---|
| 1780292094 | Nuelia S Pimnetel | Case Manager/Care Coordinator | 1916 Cali Ln Ct, Turlock, CA 95380 | 2020-07-22 |
| 1053975581 | Candido Pulido Jr. | Case Manager/Care Coordinator | 11482 Merced Ave, Turlock, CA 95380-9005 | 2019-04-30 |
| 1124558978 | Samantha Mello | Case Manager/Care Coordinator | 4511 Glimmer Ln, Turlock, CA 95382-9601 | 2017-06-14 |
| 1730618174 | Hannah Roach | Case Manager/Care Coordinator | 4650 N Olive Ave, Turlock, CA 95382 | 2017-06-08 |
| 1265968259 | Kenny Deol | Case Manager/Care Coordinator | 3450 Brookstone Dr, Turlock, CA 95382-9215 | 2017-05-11 |
| 1609116268 | William Shiu | Case Manager/Care Coordinator | 900 W Zeering Rd, Apt #44, Turlock, CA 95382-0269 | 2013-02-19 |
| 1700116522 | Jessica A Fair | Case Manager/Care Coordinator | 1450 N Johnson Rd, Turlock, CA 95380-2810 | 2009-12-29 |
| 1184876047 | Tammy Ann Walczak | Case Manager/Care Coordinator | 352 E Olive Ave, Turlock, CA 95380-4009 | 2008-10-22 |
| 1669506259 | Veronica F Naranjo II | Case Manager/Care Coordinator | 705 Bluefield Ave, Turlock, CA 95382-0313 | 2007-03-15 |
| 1801929153 | Crystal Ann Lund | Case Manager/Care Coordinator | 3310 Radcliff Way, Turlock, CA 95382-0613 | 2007-03-14 |
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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.