GENESIS GRAHAM
NPI 1831749431
Case Manager/Care Coordinator in San Diego, CA

Q: What is Genesis Graham's NPI number?

The NPI number for Genesis Graham is 1831749431. It was assigned to this individual provider in the NPPES registry on September 16, 2019.

Q: What is Genesis Graham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Genesis Graham was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 16, 2019

3132 JEFFERSON ST, SAN DIEGO, CA 92110(619) 683-3100 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2021, Sep 16, 2019 (2 updates tracked since 2019).

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About Genesis Graham NPPES

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

GENESIS GRAHAM (NPI 1831749431) is an individual case manager/care coordinator provider in San Diego, California and active in the NPI registry since September 2019. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1831749431

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameGENESIS GRAHAM

Location Address3132 JEFFERSON STSan Diego, CA 92110-4421

Mailing Address3132 Jefferson StSan Diego, CA 92110-4421 · (619) 683-3100

Phone(619) 683-3100

Sole ProprietorNo

Enumeration DateSeptember 16, 2019

Last NPPES UpdateMarch 9, 20212 updates tracked since enumeration

NPPES CertifiedMarch 9, 2021

✔ NPI 1831749431 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.

3132 JEFFERSON ST, San Diego, CA 92110

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Secondary Practice Location 1

Location 13555 Kenyon St Ste 101San Diego, CA 92110-5341 · Phone (619) 600-0683

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.

ISRAEL Q LIM

Licensed Vocational Nurse