Jose Amaral

Individual provider Active NPI Case Manager/Care Coordinator · Eureka, CA

NPI 1689180192 · NPPES record last updated Dec 19, 2017

Key facts

NPI
1689180192
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3960 Walnut Dr
Eureka, CA 95503-8938
Phone
(707) 268-8722
NPI assigned
Dec 19, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Counseling Center Past Accepting new patients
Remi Vista Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

3960 Walnut Dr
Eureka, CA 95503-8938

Mailing address

3960 Walnut Dr
Eureka, CA 95503-8938

Other providers in Eureka, CA

All providers in Eureka, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.