Daniela Diaz-Barrera

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

NPI 1124687306 · NPPES record last updated Jun 11, 2019

Key facts

NPI
1124687306
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
29341 Kimberlina Rd Ste 102
Wasco, CA 93280-7617
Phone
(661) 758-4029
Fax
(661) 758-0891
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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
College Community Services Past
since Jan 1, 2020
Accepting new patients
College Community Services Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

29341 Kimberlina Rd Ste 102
Wasco, CA 93280-7617

Mailing address

29325 Kimberlina Rd
Wasco, CA 93280-7617
Phone (661) 758-4029

Other practice location 1

29325 Kimberlina Rd
Wasco, CA 93280-7617
Phone (661) 758-4029

Other providers in Wasco, CA

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

Sources for this page

Verify at the official NPI Registry.