KELLY RENTERIA
NPI 1215512561
Case Manager/Care Coordinator in Crestline, CA

Active since March 17, 2021
24028 LAKE DRIVE, CRESTLINE, CA 92325(909) 338-3222 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2022, Mar 17, 2021 (2 updates tracked since 2021).

About Kelly Renteria NPPES

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

KELLY RENTERIA (NPI 1215512561) is an individual case manager/care coordinator provider in Crestline, California and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1215512561
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKELLY RENTERIA
Location Address24028 LAKE DRIVECrestline, CA 92325
Mailing Address13410 Barbara StMoreno Valley, CA 92553-8111
Sole ProprietorYes
Enumeration DateMarch 17, 2021
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
NPI 1215512561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedBehavior TechnicianTaxonomy 106S00000X
24028 LAKE DRIVE, Crestline, CA 92325

Other Providers at the Same Location NPPES 8

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

Marriage & Family Therapist
24028 LAKE DRIVE
CRESTLINE, CA 92325
Social Worker
24028 LAKE DRIVE
CRESTLINE, CA 92325
Rehabilitation Practitioner
24028 LAKE DRIVE, SUITE A
CRESTLINE, CA 92325
Day Training/Habilitation Specialist
24028 LAKE DRIVE
CRESTLINE, CA 92325
Marriage & Family Therapist
24028 LAKE DRIVE, SUITE A
CRESTLINE, CA 92325
Case Manager/Care Coordinator
24028 LAKE DRIVE
CRESTILINE, CA 92325
Community Health Worker
24028 LAKE DRIVE
CRESTLINE, CA 92325
Rehabilitation Practitioner
24028 LAKE DRIVE
CRESTLINE, CA 92325

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 Kelly Renteria's NPI number?

The NPI number for Kelly Renteria is 1215512561. It was assigned to this individual provider in the NPPES registry on March 17, 2021.

Where is Kelly Renteria located?

Kelly Renteria practices at 24028 Lake Drive, Crestline, CA 92325. The listed phone number is (909) 338-3222.

What is Kelly Renteria'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 Kelly Renteria was last updated on July 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.