MS. AMBER D GRAY, CC, CCM, CDVC III (NPI# 1760670350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760670350 |
| Entity Type | Individual |
| Full Name | MS. AMBER D GRAY, CC, CCM, CDVC III |
| Credential | M.A., U.G.W.S., B.A. |
| Practice Address |
515 Corona Mall Violence Prevention Coalition Corona CA 92879-1421 |
| Mailing Address |
Po Box 910 Riverside CA 92502-0910 |
| Practice Telephone | 9516726175 |
| Practice Fax Number | 9513201381 |
| Mailing Telephone | 9516726175 |
| Mailing Fax Number | 9513201381 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2011-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
CA | Behavioral Health & Social Service Providers | |
| Y | 251B00000X | Case Management | CA | Agencies | |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | CA | Residential Treatment Facilities | |
| N | 251S00000X | Community/Behavioral Health | CA | Agencies |
| Street Address |
515 CORONA MALL VIOLENCE PREVENTION COALITION |
| City | CORONA |
| State | CA |
| Zip Code | 92879-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699886267 | Andrea Monica Morris | Marriage & Family Therapist | 515 Corona Mall, Corona, CA 92879-1421 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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| 1124419379 | I Choose Life Addiction Specialist | Case Management | 425 E 6th St, Unit 201, Corona, CA 92879-1566 | 2015-02-10 |
| 1205184926 | Sylvia Bishop | Case Management | 629 N Main St, Ste. C - 3, Corona, CA 92880-1409 | 2012-08-28 |
| 1417210659 | Happy Dragon of Usa Inc | Case Management | 9825 Horace Harding Expy, Corona, NY 11368-4627 | 2012-06-22 |
| 1245593870 | Happy Dragon of Usa Inc. | Case Management | 9825 Horace Harding Expy, Corona, NY 11368-4627 | 2012-06-19 |
| 1861754814 | Happy Dragon of New York Inc. | Case Management | 9825 Horace Harding Expy, Corona, NY 11368-4627 | 2012-06-14 |
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| 1679191977 | Modiv Health LLC. | Case Management | 1195 Linda Vista Dr Ste H, San Marcos, CA 92078-3824 | 2020-07-13 |
| 1104442805 | Tanya &steve Professional Services Inc | Case Management | 11123 Lemay St, North Hollywood, CA 91606-2008 | 2020-06-18 |
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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.