WILLARD WYNN II (NPI# 1952708570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952708570 |
| Entity Type | Individual |
| Full Name | WILLARD WYNN II |
| Practice Address |
1405 Spruce Street Suite A Whittier CA 92597-2410 |
| Mailing Address |
1450 Spruce Street Suite A Whittier CA 92597-2410 |
| Practice Telephone | 9517155040 |
| Mailing Telephone | 9517155040 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2016-11-16 |
| 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 |
| Street Address |
1405 SPRUCE STREET SUITE A |
| City | WHITTIER |
| State | CA |
| Zip Code | 92597-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757457 | Mitra Rouintan Dmd, Inc. | Clinic/Center | 9209 Colima Rd Ste 2200, Whittier, CA 90605-1817 | 2020-10-12 |
| 1780291351 | Care Now Urgentcare | Clinic/Center | 5236 Palm Ave, Whittier, CA 90601-2210 | 2020-09-28 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1053925172 | Jacqueline Chun | Social Worker | 11813 Marquardt Ave, Whittier, CA 90605-4021 | 2020-09-04 |
| 1083227045 | Toshina Crockett-espinoza | Chiropractor | 7713 Gerda Ct, Whittier, CA 90606-2130 | 2020-08-28 |
| 1497368450 | Edwin Van Capelle | Hearing Instrument Specialist | 15758 La Forge St, Whittier, CA 90603-2334 | 2020-08-28 |
| 1578175444 | Karen Ann Pena | Counselor | 13701 Carnell St, Whittier, CA 90605-2202 | 2020-08-20 |
| 1417569617 | Stephanie Santos Family Counseling Inc | Clinic/Center | 7007 Washington Ave Ste 315, Whittier, CA 90602-3610 | 2020-08-19 |
| 1467063214 | Gayana Chuklansev | Nurse Practitioner | 10555 Memphis Ave, Whittier, CA 90604-1449 | 2020-08-14 |
| 1356959035 | Ricardo Velasco | Dental Assistant | 7721 Newlin Ave Apt A, Whittier, CA 90602-2058 | 2020-07-17 |
| Find all providers in WHITTIER | ||||
| 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 |
|---|---|---|---|---|
| 1053898486 | Bridget Joanne Islas | Case Manager/Care Coordinator | 8219 Milton Ave., Apt. D, Whittier, CA 90602 | 2018-07-27 |
| 1194069104 | Karla S Oliver | Case Manager/Care Coordinator | 7301 Comstock Ave, Whittier, CA 90602-1612 | 2012-11-15 |
| 1639323751 | Ivan Garcia | Case Manager/Care Coordinator | 14775 Mar Vista St, Whittier, CA 96005-4376 | 2008-11-17 |
| 1346496239 | Anthony Joseph Galvan | Case Manager/Care Coordinator | 8240 Broadway Ave, Whittier, CA 90606-3120 | 2008-08-12 |
| 1164556569 | Eduardo Delgadillo | Case Manager/Care Coordinator | 7354 Bright Ave Apt C, Whittier, CA 90602-1680 | 2007-03-15 |
| 1386777613 | Roxana Yanira Mejia | Case Manager/Care Coordinator | 4209 Mountain Shadows Dr, Whittier, CA 90601-1721 | 2007-03-14 |
| 1982220711 | David Charles Flores | Case Manager/Care Coordinator | 8814 Santa Fe Springs Rd, Whittier, CA 90606-2821 | 2020-06-17 |
| 1639731573 | Cheyenne Spencer | Case Manager/Care Coordinator | 10155 Colima Rd, Whittier, CA 90603-2042 | 2019-07-01 |
| 1174189427 | Brenda Mora Pulido | Case Manager/Care Coordinator | 9829 Carmenita Rd Ste H, Whittier, CA 90605-3262 | 2019-05-13 |
| 1164087292 | Angel Garcia | Case Manager/Care Coordinator | 12225 Beverly Blvd, Whittier, CA 90601-2966 | 2019-05-03 |
| Find all providers in WHITTIER | ||||
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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.