JAIME RAFAEL CALDERON (NPI# 1790304970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790304970 |
| Entity Type | Individual |
| Full Name | JAIME RAFAEL CALDERON |
| Practice Address |
15339 Saticoy St Van Nuys CA 91406-3345 |
| Mailing Address |
420 Fermoore St San Fernando CA 91340-2303 |
| Practice Telephone | 8184971285 |
| Mailing Telephone | 8184151813 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-09 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366726770 | Jaime A Calderon | Psychologist | 555 Estates Pl, Longwood, FL 32779-2857 | 2011-10-04 |
| 1295025799 | Jaime Calderon | Physician Assistant | 520 E 70th St # 403, New York, NY 10021-9800 | 2011-04-18 |
| 1881995629 | Jaime A Calderon | Social Worker | 760 Broadway, 5th Floor-5a-114, Brooklyn, NY 11206-5317 | 2010-11-10 |
| Street Address |
15339 SATICOY ST |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91406-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326177924 | Xenia Booker | Rehabilitation Practitioner | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2007-03-02 |
| 1801403969 | Jessica Monique Romo | Counselor | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2020-09-23 |
| 1295349116 | Schelsey Mahammadie-sabet | Art Therapist | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2020-09-08 |
| 1174137574 | Michael Moss | Student in an Organized Health Care Education/Training Program | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2020-09-02 |
| 1669086070 | Marianna Hovsepyan | Student in an Organized Health Care Education/Training Program | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2020-09-02 |
| 1497369078 | Vanessa Rachael Nettelhorst | Student in an Organized Health Care Education/Training Program | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2020-09-01 |
| 1962016550 | Wayne Anthony Smith | Case Manager/Care Coordinator | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2020-09-01 |
| 1598376576 | Arpine Gulgulyan | Student in an Organized Health Care Education/Training Program | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2020-08-12 |
| 1376154583 | Adam Rosen | Student in an Organized Health Care Education/Training Program | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2020-08-11 |
| 1013534056 | William Ortiz | Rehabilitation Practitioner | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628953 | Elizabeth Leon Sanchez | Marriage & Family Therapist | 16360 Van Nuys Blvd, Van Nuys, CA 91406 | 2019-09-18 |
| 1720573926 | Kina Dennis | Specialist/Technologist | 17216 Saticoy Street, 609, Van Nuys, CA 91406 | 2018-06-29 |
| 1902398951 | Roland Hinds | Rehabilitation Practitioner | 16360 Roscoe Blvd # 2, Van Nuys, CA 91406 | 2018-06-05 |
| 1528576691 | Vyacheslav Alec Pekler | Naturopath | 7025 Adea Ave, Lake Balboa, CA 91406 | 2018-01-11 |
| 1366960999 | Gentle Ride LLC Dba Safeaid | Non-emergency Medical Transport (VAN) | 6747 Odessa Ave Ste 101, Van Nuys, CA 91406 | 2017-09-04 |
| 1396265252 | Developmental Pathways, Inc. | Physical Therapist | 7120 Hayvenhurst Ave Ste 308, Van Nuys, CA 91406 | 2017-06-22 |
| 1952850729 | Leisure Village, Inc | Assisted Living Facility | 6726 1/2 Gaviota Ave., Lake Balboa, CA 91406 | 2016-09-22 |
| 1689037426 | Mahnaz Rashidimoakhar | Physical Therapy Assistant | 6452 Woodley Ave, Unit 4, Van Nuys, CA 91406 | 2016-03-30 |
| 1306264205 | Angel Hospice Care, Inc. | Hospice Care, Community Based | 16114 Hart St, Van Nuys, CA 91406 | 2014-03-29 |
| 1871924589 | Well Care Transport, Inc. | Non-emergency Medical Transport (VAN) | 6525 Woodley Ave. Unit #205, Lake Balboa, CA 91406 | 2013-12-05 |
| Find all providers in zip 91406 | ||||
| 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 |
|---|---|---|---|---|
| 1225691975 | Veronika Aghajanyan | Case Manager/Care Coordinator | 7301 Lennox Ave Unit C2, Van Nuys, CA 91405-6251 | 2019-04-18 |
| 1417430836 | Laura Ashley Gomez | Case Manager/Care Coordinator | 7350 Kester Ave Apt 209, Van Nuys, CA 91405-1717 | 2018-09-11 |
| 1962016550 | Wayne Anthony Smith | Case Manager/Care Coordinator | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2020-09-01 |
| 1598381352 | Monica Lopez | Case Manager/Care Coordinator | 5900 Sepulveda Blvd Ste 104, Van Nuys, CA 91411-2511 | 2020-06-17 |
| 1144842410 | Daniel Michael Duffeck | Case Manager/Care Coordinator | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2020-05-10 |
| 1184245987 | Rita Enwerem-bradley | Case Manager/Care Coordinator | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2020-05-03 |
| 1073168712 | Victoria Fajardo | Case Manager/Care Coordinator | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2019-08-08 |
| 1376101170 | Briana Michelle Ramirez | Case Manager/Care Coordinator | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2019-06-05 |
| 1013482843 | Sharay Moreland | Case Manager/Care Coordinator | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2018-10-08 |
| 1427530153 | Leticia Osorio | Case Manager/Care Coordinator | 15339 Saticoy St, Van Nuys, CA 91406-3345 | 2018-08-29 |
| Find all providers in VAN NUYS | ||||
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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.