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MICHAEL DEMISSIE
NPI 1134589369
Case Manager/Care Coordinator in San Jose, CA

Active since March 01, 2016
59 CROCKER CT, SAN JOSE, CA 95111(408) 227-8660 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Demissie NPPES

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

MICHAEL DEMISSIE (NPI 1134589369) is an individual case manager/care coordinator provider in San Jose, California and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1134589369
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMICHAEL DEMISSIE
Location Address59 CROCKER CTSan Jose, CA 95111-4301
Mailing Address5300 Terner Way, Apt.6202San Jose, CA 95136-4127 · (408) 483-3042
Phone(408) 227-8660
Sole ProprietorYes
Enumeration DateMarch 1, 2016
✔ NPI 1134589369 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.
59 CROCKER CT, San Jose, CA 95111
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENEE PARRISH
Counselor
59 CROCKER CT
SAN JOSE, CA 95111
Santa Clara County (408) 768-1273
WILLIE SENORAN
Case Manager/Care Coordinator
59 CROCKER CT
SAN JOSE, CA 95111
Santa Clara County (408) 227-8660
YUSUF BANGURA
Counselor
59 CROCKER CT
SAN JOSE, CA 95111
Santa Clara County (408) 227-8660
UNITY CARE GROUP, INC.
Community/Behavioral Health
59 CROCKER CT
SAN JOSE, CA 95111
Santa Clara County (408) 971-9822

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 Michael Demissie's NPI number?

The NPI number for Michael Demissie is 1134589369. It was assigned to this individual provider in the NPPES registry on March 1, 2016.

Where is Michael Demissie located?

Michael Demissie practices at 59 Crocker Ct, San Jose, CA 95111. The listed phone number is (408) 227-8660.

What is Michael Demissie'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 Michael Demissie was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.