SANDRA BLACKWOOD PONCE


Address: 43807 10th St W Ste D, Lancaster, CA 93534-4805
Phone: 6615759365

SANDRA BLACKWOOD PONCE (NPI# 1790924017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790924017
Entity Type Individual
Full Name SANDRA BLACKWOOD PONCE
Practice Address 43807 10th St W Ste D
Lancaster
CA 93534-4805
Mailing Address 447 N El Molino Ave
Pasadena
CA 91101-1403
Practice Telephone 6615759365
Practice Fax Number 6615759502
Mailing Telephone 6265778480
Mailing Fax Number 6265778978
Enumeration Date 2009-02-10
Last Update Date 2020-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 43807 10TH ST W STE D
City LANCASTER
State CA
Zip Code 93534-4805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023234747 Heritage Clinic and The Community Assistance Program for Seniors Psychologist 43807 10th St W Ste D, Lancaster, CA 93534-4805 2007-04-18
1548720006 Diana C Bindel Case Manager/Care Coordinator 43807 10th St W Ste D, Lancaster, CA 93534-4805 2019-03-21
1124599238 Martha Fernandez Rehabilitation Practitioner 43807 10th St W Ste D, Lancaster, CA 93534-4805 2018-12-16
1548781792 Esmeralda D Nava Case Manager/Care Coordinator 43807 10th St W Ste D, Lancaster, CA 93534-4805 2017-06-28
1235666330 Blanca Hernandez Rehabilitation Practitioner 43807 10th St W Ste D, Lancaster, CA 93534-4805 2017-05-19
1184165300 Maria Coleman Perdue Nurse's Aide 43807 10th St W Ste D, Lancaster, CA 93534-4805 2017-03-20
1396121711 Victoria Torres Social Worker 43807 10th St W Ste D, Lancaster, CA 93534 2015-08-07
1386996213 Lytara Antoinette Garcia Counselor 43807 10th St W Ste D, Lancaster, CA 93534-4805 2012-10-02
1073766739 Farah Dorothy Green Rehabilitation Practitioner 43807 10th St W Ste D, Lancaster, CA 93534-4805 2008-10-28
1467619296 Leslie Diane Mormile Registered Nurse 43807 10th St W Ste D, Lancaster, CA 93534-4805 2008-05-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194346098 Lori Ann Barlow Washington Counselor 921 W J Street, Lancaster, CA 93534 2020-05-01
1629698253 Gisela Regalado Paredes Surgery Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 2020-04-23
1124668470 Latonya Jean Allen Case Manager/Care Coordinator 44443 10th St. West, Lancaster, CA 93534 2020-01-14
1629629746 Korinna Fite Occupational Therapy Assistant 43860 10th St. W., Lancaster, CA 93534 2019-09-20
1114576105 Victor Nemr Hass Md Anesthesiology Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 2019-09-11
1609421007 Jaime A Mort Nurse Practitioner 43112 N 15st W, Lancaster, CA 93534 2019-08-03
1013560747 Allyson Lods Dietitian, Registered 43115 15th Street West, Lancaster, CA 93534 2019-07-22
1144884123 Nicole Breanne Palman Speech-Language Pathologist 43860 10th St. West, 1st Floor, Lancaster, CA 93534 2019-04-25
1841761475 Vanessa Gonzalez Case Manager/Care Coordinator 44226 10th St West, Lancaster, CA 93534 2018-12-07
1760969265 Marilyn Joy Pollack Physical Therapy Assistant 1306 W Avenue J Ste 2, Lancaster, CA 93534 2018-07-26
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124668470 Latonya Jean Allen Case Manager/Care Coordinator 44443 10th St. West, Lancaster, CA 93534 2020-01-14
1194372664 Dustin Rakim Mohammed Case Manager/Care Coordinator 44300 Lowtree Ave Ste 102, Lancaster, CA 93534-4171 2019-08-20
1114570736 Melissa Ann Miller Case Manager/Care Coordinator 103 Cedar Hill Rd, Lancaster, OH 43130-3637 2019-07-23
1841761475 Vanessa Gonzalez Case Manager/Care Coordinator 44226 10th St West, Lancaster, CA 93534 2018-12-07
1417454760 Donna Jefferson Case Manager/Care Coordinator 506 W Jackman St # Oc, Lancaster, CA 93534-2531 2018-04-11
1710405907 Dianna Sanchez Case Manager/Care Coordinator 45111 Fern Avenue, Lancaster, CA 93534 2017-09-07
1659817120 Prentice Easter Case Manager/Care Coordinator 949 Sprucewood Dr, Lancaster, TX 75146-1319 2017-01-09
1255702031 Tika Griffin Case Manager/Care Coordinator 3223 Millstone Creek Rd, Lancaster, SC 29720-6923 2015-10-19
1588050165 Amilcar R Ramirez Case Manager/Care Coordinator 506 W Jackman St, Lancaster, Ca 93534, Lancaster, CA 93534 2015-04-10
1053723379 Life Intensity Counseling and Case Managment Case Manager/Care Coordinator 2805 Yellow Rose Ln, Lancaster, TX 75134-2378 2014-05-21
Find all providers in LANCASTER

Competitor

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City LANCASTER
Zip Code 93534

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Dataset Information

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.

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