Josephine Pancho Baynado

Individual provider Active NPI Case Manager/Care Coordinator · Lemoore, CA

NPI 1003553041 · NPPES record last updated Jul 25, 2024

Key facts

NPI
1003553041
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
11517 15TH Ave
Lemoore, CA 93245-9508
Phone
(559) 530-4035
NPI assigned
May 19, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Champions Alternative Recovery Case Manager/Care Coordinator Current Accepting new patients
Champions Recovery Alternative Programs, Inc. Current
since Jul 28, 2024
Accepting new patients
Champions Recovery Alternative Programs, Inc. Past
since Jul 23, 2023
Accepting new patients

Locations

311 N Douty St
Hanford, CA 93230
Phone (559) 582-9323

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CA Yes

Addresses

Primary practice location

11517 15TH Ave
Lemoore, CA 93245-9508

Mailing address

11517 15TH Ave
Lemoore, CA 93245-9508
Phone (559) 530-4035

Other providers in Lemoore, CA

All providers in Lemoore, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.