MR. NICHOLAS WORTMAN (NPI# 1750632378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750632378 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS WORTMAN |
| Practice Address |
1751 Cloverfield Blvd Santa Monica CA 90404-4007 |
| Practice Telephone | 3108831222 |
| Practice Fax Number | 3108831223 |
| Mailing Telephone | 3108831222 |
| Mailing Fax Number | 3108831223 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |
| 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 |
1751 CLOVERFIELD BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780725606 | Kimjoy Wheaton | Case Manager/Care Coordinator | 1751 Cloverfield Blvd, Santa Monica, CA 90404-4007 | 2007-02-12 |
| 1710448576 | Josephine Diaz | Case Manager/Care Coordinator | 1751 Cloverfield Blvd, Santa Monica, CA 90404-4007 | 2019-03-26 |
| 1376033761 | David R Garcia | Case Manager/Care Coordinator | 1751 Cloverfield Blvd, Santa Monica, CA 90404 | 2018-05-11 |
| 1801347406 | Dejuan Fletcher | Case Manager/Care Coordinator | 1751 Cloverfield Blvd, Santa Monica, CA 90404-4007 | 2016-10-18 |
| 1790153963 | Alice Thomas | Counselor | 1751 Cloverfield Blvd, Santa Monica, CA 90404-4007 | 2015-09-04 |
| 1962803213 | Alexander Gittinger | Counselor | 1751 Cloverfield Blvd, Santa Monica, CA 90404-4007 | 2014-09-05 |
| 1902238298 | Debra Fowler | Case Manager/Care Coordinator | 1751 Cloverfield Blvd, Santa Monica, CA 90404-4007 | 2013-08-08 |
| 1255770715 | Jillienne Krystle Gomez | Case Manager/Care Coordinator | 1751 Cloverfield Blvd, Santa Monica, CA 90404-4007 | 2013-06-18 |
| 1003157280 | Elysia Nicole Morgan | Student in an Organized Health Care Education/Training Program | 1751 Cloverfield Blvd, Santa Monica, CA 90404-4007 | 2013-03-12 |
| 1245582881 | Tina Ritu Dhamija | Student in an Organized Health Care Education/Training Program | 1751 Cloverfield Blvd, Santa Monica, CA 90404-4007 | 2012-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| 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 |
|---|---|---|---|---|
| 1215129747 | Kira Dimitroff | Case Manager/Care Coordinator | 1848 Lincoln Blvd Ste 100, Santa Monica, CA 90404-4580 | 2007-08-17 |
| 1922207976 | Sarah Babb | Case Manager/Care Coordinator | 1751 Cloverfield, Santa Monica, CA 90404 | 2007-07-11 |
| 1104946169 | Wayne Bauer | Case Manager/Care Coordinator | 2701 Ocean Park Blvd Ste 150, Santa Monica, CA 90405-5219 | 2007-03-30 |
| 1689706509 | Summer Jay Langley | Case Manager/Care Coordinator | 1848 Lincoln Blvd, Suite 100, Santa Monica, CA 90404-4580 | 2007-03-09 |
| 1780725606 | Kimjoy Wheaton | Case Manager/Care Coordinator | 1751 Cloverfield Blvd, Santa Monica, CA 90404-4007 | 2007-02-12 |
| 1972100907 | Valeria Montoya Ramirez | Case Manager/Care Coordinator | 3435 Ocean Park Blvd Ste 207, Santa Monica, CA 90405-3314 | 2020-10-02 |
| 1275140238 | Saidy Amador | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-09-24 |
| 1124634167 | Jacklyn Pricella Saucedo | Case Manager/Care Coordinator | 1023 Pico Blvd, Santa Monica, CA 90405-1415 | 2020-09-16 |
| 1114539392 | Melissa Meza | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-08-19 |
| 1760091896 | Crystal Corral Herrera | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-07-24 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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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.