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RUDY DOMINGO DEANDA RADT1
NPI 1497439053
Case Manager/Care Coordinator in Oakland, CA

Active since June 14, 2023
280 17TH ST, OAKLAND, CA 94612(510) 238-5020 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2024, Jun 14, 2023 (2 updates tracked since 2023).

About Rudy Domingo Deanda Radt1 NPPES

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

RUDY DOMINGO DEANDA RADT1 (NPI 1497439053) is an individual case manager/care coordinator provider in Oakland, California, licensed in California (R1484390922) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1497439053
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameRUDY DOMINGO DEANDACredential: RADT1
Location Address280 17TH STOakland, CA 94612-4124
Mailing Address280 17th StOakland, CA 94612-4124 · (510) 238-5020
Phone(510) 238-5020
Sole ProprietorYes
Enumeration DateJune 14, 2023
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1497439053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in CA · R1484390922
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.
280 17TH ST, Oakland, CA 94612
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MS. MARCELA L. PEREZ
Registered Nurse
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
XIANJA BARROW
Case Management
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
MRS. MARITZA COREA
Counselor (Mental Health)
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
NOEL MILAN
Counselor (Mental Health)
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
JAMES PRECOUR
Technician, Health Information
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
KRISTINA P SMITH
Counselor (Professional)
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 514-5948
MS. DESIREE ALVAREZ
Rehabilitation Practitioner
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
SYDNEY WILSON
Registered Nurse (Psychiatric/Mental Health)
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020

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 Rudy Deanda's NPI number?

The NPI number for Rudy Deanda is 1497439053. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Rudy Deanda located?

Rudy Deanda practices at 280 17th St, Oakland, CA 94612. The listed phone number is (510) 238-5020.

What is Rudy Deanda'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 Rudy Deanda was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.