Active NPI
Patrice Madere
- Case Manager/Care Coordinator
- Anaheim, CA
National Provider Identifier
1932626280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1360 S Anaheim Blvd Ste 101
Anaheim, CA 92805-6205 - Phone
- (714) 948-7687
- NPI assigned
- Aug 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
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
1360 S Anaheim Blvd Ste 101
Anaheim, CA 92805-6205
Mailing address
1360 S Anaheim Blvd Ste 101
Anaheim, CA 92805-6205
Other practice location 1
22705 Belaire dr
Moreno Valley, CA 92553
Phone (909) 435-0212
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": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1932626280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 S ANAHEIM BLVD STE 101",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 S ANAHEIM BLVD STE 101",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056205",
"telephone_number": "714-948-7687"
}
],
"practiceLocations": [
{
"address_1": "22705 Belaire dr",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "92553",
"country_code": "US",
"telephone_number": "909-435-0212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADERE",
"first_name": "PATRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-28",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.