Tricia Jordan Mlnarik

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

86 S 14TH St
Alliance for Community Care Intensive Care Services Pro
San Jose, CA 95112-2015

Phone

(408) 938-6750

Fax

(408) 977-0145

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Marriage and Family Therapy Collaborative a Professional Corporation

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1538675525
  NPD Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275666117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 THE ALAMEDA",
            "address_2": "ALLIANCE FOR COMMUNITY CARE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261136",
            "telephone_number": "408-261-7777",
            "fax_number": "408-254-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 S 14TH ST",
            "address_2": "ALLIANCE FOR COMMUNITY CARE INTENSIVE CARE SERVICES PRO",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122015",
            "telephone_number": "408-938-6750",
            "fax_number": "408-977-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLNARIK",
        "first_name": "TRICIA",
        "middle_name": "JORDAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathlene Chun Miyauchi, F.N.P.
• Ken Miyazato, DDS
• Erika Mizuyama
• MJ-Transport LLC
• Kimberly Mjaseth
• Delia Mo, L.AC
• Lawrence W Mo
• Sepideh Moayed, MD
• Mobile Docs Inc
• Mobile-Med Work Health Solutions Inc

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.