Jonathan Howard Bazaes
Individual provider Active NPI Case Manager/Care Coordinator · Mission Hills, CA
NPI 1639616394 · NPPES record last updated Feb 2, 2024
Key facts
- NPI
- 1639616394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 10200 Sepulveda Blvd Ste 170
Mission Hills, CA 91345-3322 - Phone
- (818) 895-9707
- NPI assigned
- Jan 19, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
10200 Sepulveda Blvd Ste 170
Mission Hills, CA 91345-3322
Mailing address
10200 Sepulveda Blvd Ste 170
Mission Hills, CA 91345-3322
Phone (818) 895-9707
Other providers in Mission Hills, CA
- David Joseph Ballard
- Araciel Barba
- Daniel Christopher Barry
- Jihad Batah
- Supriya Bavisetty
- Lilit Bazikyan
- Be Well Adult Day Health Care, Inc.
- Cynthia Maxine Beck
- Briana Simone Begelfer
- Maria Behrooj
All providers in Mission Hills, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.