Active NPI
Joanne Reade
- Case Manager/Care Coordinator
- Azusa, CA
National Provider Identifier
1366142697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 23701 E East Fork Rd
Azusa, CA 91702-1477 - Phone
- (626) 250-3290
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
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
23701 E East Fork Rd
Azusa, CA 91702-1477
Mailing address
241 S Minnesota Ave
Glendora, CA 91741-3420
Phone (626) 391-8307
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B5255814 | Other | CA | CALIFORNIA DRIVERS LICENSE |
| 16244 | Other | CA | CAADE |
| C253723 | Other | CA | C NUMBER |
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": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1366142697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 S MINNESOTA AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917413420",
"telephone_number": "626-391-8307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23701 E EAST FORK RD",
"city": "AZUSA",
"state": "CA",
"postal_code": "917021477",
"telephone_number": "626-250-3290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "READE",
"first_name": "JOANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA DRIVERS LICENSE",
"identifier": "B5255814",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAADE",
"identifier": "16244",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "C NUMBER",
"identifier": "C253723",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Azusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.