RICHARD WLADICH
Case Manager/Care Coordinator

Address: 12901 Venice Blvd, Los Angeles, CA 90066

RICHARD WLADICH (NPI# 1063867216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063867216
Entity Type Individual
Full Name RICHARD WLADICH
Gender Male
Practice Address 12901 Venice Blvd
Los Angeles
CA 90066
Practice Telephone 3103903611
Practice Fax Number 3103904906
Mailing Address 12901 Venice Blvd
Los Angeles
CA 90066-3509
Mailing Telephone 3103903611
Mailing Fax Number 3103904906
Enumeration Date 2016-04-25
Last Update Date 2018-06-06
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 12901 VENICE BLVD
City LOS ANGELES
State CA
Zip Code 90066

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245686328 Stephanie Hydal Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2016-05-09
1902324346 Kenyatta Clark Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2017-09-06
1093366197 Jose Gonzalez Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2019-09-20
1285275339 Jay Aquino Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2019-09-30
1679091011 Jose Ulloa Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2017-09-06
1598118341 Anthony Bright Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2016-07-18
1841725538 Nancy Urquilla Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2017-05-01
1922533405 Benita Bruner Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2017-04-21
1598158065 John Long Counselor - Mental Health 12901 Venice Blvd, Los Angeles, CA 90066-3509 2015-03-09
1356734826 Bandanas Singh Counselor - Mental Health 12901 Venice Blvd, Los Angeles, CA 90066-3509 2015-03-09
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1053762856 Stanley Eng Pharmacist 12315 Venice Blvd, Los Angeles, CA 90066 2016-06-23
1114501624 Caroline Grace Corcoran Marriage & Family Therapist 13323 W Washington Blvd., Suite 101, Los Angeles, CA 90066 2021-05-11
1538538574 Acadia Malibu, Inc. Substance Abuse Rehabilitation Facility 3743, 3743 1/2, and 3744 South Barrington Avenue, Los Angeles, CA 90066 2015-09-21
1225549934 Gary Sattler Psychoanalyst 3133 Federal Ave., Los Angeles, CA 90066 2017-10-20
1316351612 Martin Reyes Counselor 1233 S. La Cienega, Los Angeles, CA 90066 2014-06-13
1023464518 Rosewood Family Healing Center Chiropractor - Pediatric Chiropractor 3411 Rosewood Avenue, Los Angeles, CA 90066 2016-05-13
1053750133 Alex Boudaie Dentist 11955 W Washington Blvd, Suite 106, Los Angeles, CA 90066 2013-06-21
1659820686 Pegah Ghassemi Bakhtiari Dds Inc · The Culver Marina Dental Group Dentist 12756 West Washington Blvd, Los Angeles, CA 90066 2016-10-03
1164992731 Erfan Nazeri Student in an Organized Health Care Education/Training Program 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 2018-11-27
1073167458 Rosario Tabares Marriage & Family Therapist 4173 Inglewood Blvd., Los Angeles, CA 90066 2019-07-24
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrolleeā€™s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295306645 Eric Slamovich Case Manager/Care Coordinator 648 N Crescent Heights Blvd, Los Angeles, CA 90048-2210 2021-07-07
1962073254 Amy Lee Case Manager/Care Coordinator 1000 Veteran Ave 21-51, Los Angeles, CA 90024-2704 2021-07-07
1275104127 Nancy Chand Case Manager/Care Coordinator 210 W Temple St Fl 19, Los Angeles, CA 90012-3231 2021-07-01
1275102378 Steven W Perle Case Manager/Care Coordinator 5849 Crocker St # X, Los Angeles, CA 90003-1311 2021-06-22
1457920852 James Kelly Jones Case Manager/Care Coordinator 3950 La Salle Ave, Los Angeles, CA 90062-1163 2021-06-21
1982272191 Franceska Dominque Gallegos Case Manager/Care Coordinator 5359 3rd Ave, Los Angeles, CA 90043-2604 2021-06-14
1194393306 Angelica Mena Case Manager/Care Coordinator 515 Columbia Ave Ste 300, Los Angeles, CA 90017-1209 2021-06-14
1225619000 Emely Gonzalez Case Manager/Care Coordinator 3870 Crenshaw Blvd Ste 212, Los Angeles, CA 90008-1815 2021-04-14
1912586975 Gabriela Velasco Case Manager/Care Coordinator 3250 Wilshire Blvd., Suite 500, Los Angeles, CA 90010-1427 2021-04-06
1679158208 Desiree America Medina Case Manager/Care Coordinator 648 S Grande Vista Ave, Los Angeles, CA 90023-1647 2021-03-15
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Competitor

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City LOS ANGELES
Zip Code 90066

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.