Jose Huerta Jr.
Individual provider Active NPI Case Manager/Care Coordinator · Lemoore, CA
NPI 1114489226 · NPPES record last updated Apr 5, 2019
Key facts
- NPI
- 1114489226
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 11517 15TH Ave
Lemoore, CA 93245-9508 - Phone
- (559) 380-0800
- NPI assigned
- Apr 5, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champions Recovery Alternative Programs, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
11517 15TH Ave
Lemoore, CA 93245-9508
Mailing address
11517 15TH Ave
Lemoore, CA 93245-9508
Phone (559) 380-0800
Other providers in Lemoore, CA
- Rosemary J Hinson
- Nicholas Wah Hoo
- Kimberly Heather Hope
- Russell F Horgos
- Julia Houston
- Nathan D Huffaker
- Mary Kim Hunsader
- Kayla Hunter
- Mnal Hussei
- Sean Jackewicz
All providers in Lemoore, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.