MS. MINERVA MINNIE MIJANGOS (NPI# 1851679260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851679260 |
| Entity Type | Individual |
| Full Name | MS. MINERVA MINNIE MIJANGOS |
| Credential | AA |
| Practice Address |
4705 N Sonora Ave Suite 113 Fresno CA 93722-3966 |
| Practice Telephone | 5592767558 |
| Practice Fax Number | 5592767568 |
| Mailing Telephone | 5592767558 |
| Mailing Fax Number | 5592767568 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
B5599592 | CA | Behavioral Health & Social Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 171R00000X | Interpreter | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVER'S LICENSE | B5599592 | 01 |
| Street Address |
4705 N SONORA AVE SUITE 113 |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-3966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629255609 | Mark Blanton | Counselor | 4705 N Sonora Ave, Fresno, CA 93722-3966 | 2008-01-22 |
| 1538609961 | Healthy Life Home Services, Inc | Home Health | 4705 N Sonora Ave, Suite 106, Fresno, CA 93722-3966 | 2017-03-04 |
| 1396175626 | Jeanette Jackson | Counselor | 4705 N Sonora Ave, Fresno, CA 93722-3966 | 2013-11-22 |
| 1922438480 | Tafailagi Yandall | Counselor | 4705 N Sonora Ave, Fresno, CA 93722-3966 | 2013-11-20 |
| 1851640247 | Jeremiah Brubaker | Counselor | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2012-08-31 |
| 1841580578 | Yolanda Theresa Bowen | Contractor | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2011-04-14 |
| 1831488964 | Robert Lee Bohanna | Counselor | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2011-03-29 |
| 1861796062 | Maria Angelica Galvan | Interpreter | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2011-01-03 |
| 1508181413 | Carina Gonzolez Espitia | Community Health Worker | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2010-04-02 |
| 1467782102 | Delta Care Inc | Community/Behavioral Health | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2009-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| 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 |
|---|---|---|---|---|
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1588272876 | Avarita Shari Henry | Case Manager/Care Coordinator | 3710 Iris Ridge Way, Fresno, TX 77545-6040 | 2020-07-22 |
| 1780201954 | Sabrina Syvankham | Case Manager/Care Coordinator | 4789 E Kings Canyon Rd, Fresno, CA 93702-4069 | 2020-07-02 |
| 1487270658 | Choua Yang | Case Manager/Care Coordinator | 4861 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-06-23 |
| 1801428834 | Alicia Danielle Sanchez | Case Manager/Care Coordinator | 7029 N Oratorio Dr, Fresno, CA 93711-0146 | 2020-02-07 |
| 1689136350 | Marissa Carrillo | Case Manager/Care Coordinator | 1797 E Dorothy St, Fresno, CA 93706-5430 | 2019-04-02 |
| 1902363609 | Ma Irene Sanchez Sanchez | Case Manager/Care Coordinator | 4411 E Kings Canyon Rd Ste 319, Fresno, CA 93702-3604 | 2019-02-28 |
| 1144790411 | Garfield Jermyuer Spencer | Case Manager/Care Coordinator | 3433 W Shaw Ave Ste 103, Fresno, CA 93711-3229 | 2018-11-29 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| Find all providers in FRESNO | ||||
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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.