Active NPI
Hagar Jannane Cardenas
- Case Manager/Care Coordinator
- Modesto, CA
National Provider Identifier
1013258276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1800 Tully Rd
Suite A2
Modesto, CA 95350-2946 - Phone
- (209) 622-2142
- Fax
- (209) 544-2305
- NPI assigned
- Mar 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1800 Tully Rd
Suite A2
Modesto, CA 95350-2946
Mailing address
784 The Burl
Turlock, CA 95380-3827
Phone (209) 327-8507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1013258276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 THE BURL",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953803827",
"telephone_number": "209-327-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 TULLY RD",
"address_2": "SUITE A2",
"city": "MODESTO",
"state": "CA",
"postal_code": "953502946",
"telephone_number": "209-622-2142",
"fax_number": "209-544-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS",
"first_name": "HAGAR",
"middle_name": "JANNANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-12",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.