Deshun W Vines

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1671 The Alameda Ste 306
San Jose, CA 95126-2222

Phone

(408) 761-9921

NPI assigned

Dec 18, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Horizon Services, Inc

  • Substance Abuse Rehabilitation Facility
  • San Leandro, CA
  • NPI 1427234921
  NPD (past)
• Peninsula Healthcare Connection, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palo Alto, CA
  • NPI 1295935799
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1134767379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 THE ALAMEDA STE 306",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262222",
            "telephone_number": "408-761-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 THE ALAMEDA STE 306",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262222",
            "telephone_number": "408-761-9921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2035 Fairmont Dr",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945781088",
            "country_code": "US",
            "telephone_number": "510-346-7832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINES",
        "first_name": "DESHUN",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi M Villegas
• Faith Vannesa Villegas
• Marcela Jerusalem Villegas
• Joshlene-Anne Viloria
• Norma Elena Vindell
• Minh-Khanh Vinh
• Vinita Goyal DDS Inc
• Sowmya Vinjamuri
• Breanne Rose Vinogradoff, RD
• Pattry Vinueza

• Case Manager/Care Coordinator in San Jose, CA
• Providers in San Jose, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.