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JESSE WALLACE
NPI 1174005995
Case Manager/Care Coordinator in Chatsworth, CA

Active since August 29, 2018
21000 PLUMMER ST, CHATSWORTH, CA 91311(818) 882-6400 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesse Wallace NPPES

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

JESSE WALLACE (NPI 1174005995) is an individual case manager/care coordinator provider in Chatsworth, California and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1174005995
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJESSE WALLACE
Location Address21000 PLUMMER STChatsworth, CA 91311-4903
Mailing Address21000 Plummer StChatsworth, CA 91311-4903 · (818) 882-6400
Phone(818) 882-6400
Sole ProprietorNo
Enumeration DateAugust 29, 2018
✔ NPI 1174005995 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.
21000 PLUMMER ST, Chatsworth, CA 91311
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Other Providers at the Same Location NPPES 20

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

JEANETTE GAVIA
Rehabilitation Practitioner
21000 PLUMMER ST
CHATSWORTH, CA 91311
Los Angeles County (818) 882-6400
AUBREE LYND SWEENEY
Marriage & Family Therapist
21000 PLUMMER ST
CHATSWORTH, CA 91311
Los Angeles County (818) 882-6400
ESTEFANIA LANDEROS MSW
Social Worker (Clinical)
21000 PLUMMER ST
CHATSWORTH, CA 91311
Los Angeles County (818) 882-6400
DOMINIC BERTRAND CERONI MS
Student in an Organized Health Care Education/Training Program
21000 PLUMMER ST
CHATSWORTH, CA 91311
Los Angeles County (818) 882-6400
RANCHO SAN ANTONIO BOYS HOME INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
21000 PLUMMER ST
CHATSWORTH, CA 91311
Los Angeles County (818) 882-6400
BERNY BLANCO
Rehabilitation Practitioner
21000 PLUMMER ST
CHATSWORTH, CA 91311
Los Angeles County (818) 884-6400
IVAN ALBERTO GONZALEZ
Student in an Organized Health Care Education/Training Program
21000 PLUMMER ST
CHATSWORTH, CA 91311
Los Angeles County (818) 882-6400
LEMUEL CORY OGGS
Rehabilitation Practitioner
21000 PLUMMER ST
CHATSWORTH, CA 91311
Los Angeles County (818) 882-6400

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 Jesse Wallace's NPI number?

The NPI number for Jesse Wallace is 1174005995. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Jesse Wallace located?

Jesse Wallace practices at 21000 Plummer St, Chatsworth, CA 91311. The listed phone number is (818) 882-6400.

What is Jesse Wallace'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 Jesse Wallace was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.