MRS. NIDIA DELSY PRAVONGVIENGKHAM M.S.
NPI 1235384066
Case Manager/Care Coordinator in Moreno Valley, CA

Q: What is Nidia Pravongviengkham's NPI number?

The NPI number for Nidia Pravongviengkham is 1235384066. It was assigned to this individual provider in the NPPES registry on November 20, 2008. The provider is also known as Ms. Nidia Delsy Molina M.S..

Q: What is Nidia Pravongviengkham's specialty?

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

Active since November 20, 2008

13800 HEACOCK ST STE C236, MORENO VALLEY, CA 92553(951) 653-0819 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Nidia Delsy Pravongviengkham M.s. NPPES

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

MRS. NIDIA DELSY PRAVONGVIENGKHAM M.S. (NPI 1235384066) is an individual case manager/care coordinator provider in Moreno Valley, California and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1235384066

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMRS. NIDIA DELSY PRAVONGVIENGKHAMCredential: M.S.

Location Address13800 HEACOCK ST STE C236Moreno Valley, CA 92553-3364

Mailing Address13415 Canterbury Downs WayMoreno Valley, CA 92555-8402 · (951) 893-0089

Phone(951) 653-0819

Sole ProprietorYes

Enumeration DateNovember 20, 2008

Last NPPES UpdateNovember 14, 2012

✔ NPI 1235384066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedMarriage & Family TherapistTaxonomy 106H00000X · License IMF 54676 (CA)

13800 HEACOCK ST STE C236, Moreno Valley, CA 92553

Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Nidia Delsy Molina M.s.

Other Providers at the Same Location NPPES 10

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

RALPH RICHARD AGUILAR

Case Manager/Care Coordinator