MRS. NIDIA DELSY PRAVONGVIENGKHAM M.S.
NPI 1235384066
Case Manager/Care Coordinator in Moreno Valley, CA
NPI Status: Active since November 20, 2008
Contact Information
13800 HEACOCK ST STE C236
MORENO VALLEY, CA
ZIP 92553
Phone: (951) 653-0819
- Individual
- Female
- Case Manager/Care Coordinator
About NIDIA PRAVONGVIENGKHAM
This page provides the complete NPI Profile along with additional information for Nidia Pravongviengkham, a provider established in Moreno Valley, California with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1235384066 assigned on November 2008. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1235384066
- Provider Name
- MRS. NIDIA DELSY PRAVONGVIENGKHAM M.S.
- Other Name
- MS. NIDIA DELSY MOLINA M.S.
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 13800 HEACOCK ST STE C236 MORENO VALLEY, CA 92553
- Location Phone
- (951) 653-0819
- Mailing Address
- 13415 CANTERBURY DOWNS WAY MORENO VALLEY, CA 92555
- Mailing Phone
- (951) 893-0089
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-20-2008
- Last Update Date
- 11-14-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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 enrollee'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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | IMF 54676 (CA) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 3 | 8 | 4 | 0 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 6 | 8 | 8 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 6 + 8 + 8 + 0 + 1 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1235384066 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396928610 | JERLAINE CASSANDRA BECKWITH BA Individual | Rehabilitation Practitioner | 13800 HEACOCK ST STE C236 MORENO VALLEY, CA 92553 (951) 653-0819 |
| 1972752947 | MR. JEREMY LEE CAIN Individual | Counselor (Mental Health) | 13800 HEACOCK ST STE C236 MORENO VALLEY, CA 92553 (951) 653-0819 |
| 1790921559 | MRS. KRISTI MARIE CASLER Individual | Case Manager/Care Coordinator | 13800 HEACOCK ST STE C236 MORENO VALLEY, CA 92553 (951) 653-0819 |
| 1649592338 | MR. MICHAEL DAVID FOUST Individual | Rehabilitation Practitioner | 13800 HEACOCK ST STE C236 MORENO VALLEY, CA 92553 (951) 653-0819 |
| 1467772806 | JACOB C TANNER Individual | Case Manager/Care Coordinator | 13800 HEACOCK ST STE C236 MORENO VALLEY, CA 92553 (951) 656-2614 |
| 1104146299 | RALPH RICHARD AGUILAR Individual | Case Manager/Care Coordinator | 13800 HEACOCK ST STE C236 MORENO VALLEY, CA 92553 (951) 653-0819 |
| 1497051635 | MRS. JODI ELLEN ALVAREZ BASW Individual | Case Manager/Care Coordinator | 13800 HEACOCK ST STE C236 MORENO VALLEY, CA 92553 (951) 653-0819 |
| 1245584374 | CORINA RESABALA VILLACIS Individual | Case Manager/Care Coordinator | 13800 HEACOCK ST STE C236 MORENO VALLEY, CA 92553 (951) 653-0819 |
| 1558601138 | UNIQUE SHAW-SMITH Individual | Case Manager/Care Coordinator | 13800 HEACOCK ST STE C236 MORENO VALLEY, CA 92553 (951) 653-0819 |
| 1518207059 | JAAVAL SHAUNE CATO Individual | Case Manager/Care Coordinator | 13800 HEACOCK ST STE C236 MORENO VALLEY, CA 92553 (951) 653-0819 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235384066, enumerated in the NPI registry as an "individual" on November 20, 2008
The provider is located at 13800 Heacock St Ste C236 Moreno Valley, Ca 92553 and the phone number is (951) 653-0819
The provider's speciality is Case Manager/Care Coordinator with taxonomy code 171M00000X
This NPI record was last updated on November 20, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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