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JUAN ELIZALDE
NPI 1043987803
Case Manager/Care Coordinator in San Bernardino, CA

Active since August 27, 2021
3782 VERMONT ST, SAN BERNARDINO, CA 92407(213) 800-3089 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Juan Elizalde NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN ELIZALDE (NPI 1043987803) is an individual case manager/care coordinator provider in San Bernardino, California and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1043987803
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJUAN ELIZALDE
Location Address3782 VERMONT STSan Bernardino, CA 92407-6948
Mailing Address17005 Grand Mammoth PlVictorville, CA 92394-7718 · (213) 800-3089
Phone(213) 800-3089
Sole ProprietorNo
Enumeration DateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
✔ NPI 1043987803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
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 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.
3782 VERMONT ST, San Bernardino, CA 92407
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Elizalde's NPI number?

The NPI number for Juan Elizalde is 1043987803. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Juan Elizalde located?

Juan Elizalde practices at 3782 Vermont St, San Bernardino, CA 92407. The listed phone number is (213) 800-3089.

What is Juan Elizalde's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Juan Elizalde was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.