Destiny Breana Rae Nevarez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

110 Gateway Dr Ste 210
Lincoln, CA 95648-3306

Phone

(916) 645-3300

Fax

(916) 645-3311

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1386319762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GATEWAY DR STE 210",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956483306",
            "telephone_number": "916-645-3300",
            "fax_number": "916-645-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GATEWAY DR STE 210",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956483306",
            "telephone_number": "916-645-3300",
            "fax_number": "916-645-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVAREZ",
        "first_name": "DESTINY",
        "middle_name": "BREANA RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadaf Najmabadi, MD
• Kaoru Namura, AG-ACNP
• Rohit M Narayan, O.D.
• Daniel E Navarro, LCSW
• Feroz M Nawabi, DDS
• Alex Kinyanjui Ngotho, RN
• Regina W Ngotho, RN
• Caitlin Nguyen
• Jenny Nguyen
• Khanh-Ly Nguyen, PT

• Case Manager/Care Coordinator in Lincoln, CA
• Providers in Lincoln, 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 Aug 9, 2021; 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.