MARCO A JUAREZ CAMACHO (NPI# 1750875654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750875654 |
| Entity Type | Individual |
| Full Name | MARCO A JUAREZ CAMACHO |
| Practice Address |
505 M St Rio Linda CA 95673-2218 |
| Practice Telephone | 9162874067 |
| Practice Fax Number | 9162874068 |
| Mailing Telephone | 9162874067 |
| Mailing Fax Number | 9162874067 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
505 M ST |
| City | RIO LINDA |
| State | CA |
| Zip Code | 95673-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033402516 | Lisa Ann Mccormic | Counselor | 505 M St, Rio Linda, CA 95673-2218 | 2011-05-17 |
| 1508474289 | Tara Leanne Reynolds | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2020-07-17 |
| 1851917686 | Unmol Joshi | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2020-06-17 |
| 1245861822 | Kimberly Michelle Waterman | Student in an Organized Health Care Education/Training Program | 505 M St, Rio Linda, CA 95673-2218 | 2020-01-31 |
| 1881234250 | Terri Annette Grace | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2020-01-13 |
| 1073157095 | Chong Neng Thao | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2019-11-02 |
| 1912541392 | Carnita Davenport | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2019-10-29 |
| 1619524899 | Katherine Remhof | Licensed Vocational Nurse | 505 M St, Rio Linda, CA 95673-2218 | 2019-08-21 |
| 1477105328 | Phillisha Love Story | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2019-07-11 |
| 1649736539 | Alexander Ransom | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2019-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124191630 | Tamara Juana Isaac Cooksey | Marriage & Family Therapist | 4545 9th Ave, Sacramento, CA 95673 | 2006-11-15 |
| 1316055825 | Michael Tang | Counselor | 7314 W 4th St, Rio Linda, CA 95673-1109 | 2006-08-25 |
| 1578109724 | Wayne Dupree Hunter Jr. | Non-emergency Medical Transport (VAN) | 424 Penn Central Ct, Rio Linda, CA 95673-1474 | 2019-11-22 |
| 1861045056 | James Lovefield | Counselor | 933 Quiet Way, Rio Linda, CA 95673-1520 | 2019-07-17 |
| 1467523829 | County of Sacramento | Clinic/Center | 1040 Q St, Rio Linda, CA 95673-1532 | 2006-11-10 |
| 1760935431 | Alan Hill | Marriage & Family Therapist | 6920 5th Ave, Rio Linda, CA 95673-2209 | 2016-07-29 |
| 1790796324 | Rio Linda Leader Drugs | Pharmacy | 402 M St, Rio Linda, CA 95673-2217 | 2006-08-10 |
| 1568599348 | Bevan Milton Richardson | Dentist | 851 Oak Ln, Rio Linda, CA 95673-2341 | 2007-02-27 |
| 1770085375 | Bevan Richardson | Clinic/Center | 851 Oak Ln, Rio Linda, CA 95673-2341 | 2018-02-28 |
| 1104358209 | Jamie Cantor | Behavior Technician | 7016 22nd St, Rio Linda, CA 95673-2718 | 2017-03-29 |
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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 |
|---|---|---|---|---|
| 1508474289 | Tara Leanne Reynolds | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2020-07-17 |
| 1851917686 | Unmol Joshi | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2020-06-17 |
| 1881234250 | Terri Annette Grace | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2020-01-13 |
| 1073157095 | Chong Neng Thao | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2019-11-02 |
| 1912541392 | Carnita Davenport | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2019-10-29 |
| 1477105328 | Phillisha Love Story | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2019-07-11 |
| 1649736539 | Alexander Ransom | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2019-02-15 |
| 1255895728 | Shelby Nicole Scott | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2019-01-29 |
| 1285105791 | Marco Sanchez Jr. | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2018-12-10 |
| 1801367313 | Caitlan Cook | Case Manager/Care Coordinator | 505 M St, Rio Linda, CA 95673-2218 | 2018-12-10 |
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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.