Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639514102 Individual Practitioner Male Practitioner

Robert Ty Costa

Case Manager/Care Coordinator • Ceres, CA

Professional Overview & Biography Verified Profile Summary

Robert Costa is a registered healthcare professional specializing in Case Manager/Care Coordinator in Ceres, CA. Practice services are available at 1904 RICHLAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1904 Richland Ave

Ceres, CA 953074562

Telephone 2095412121
Fax 2095412083
Associated Practice Facility / Clinic
🏢 County Of Stanislaus Facility NPI 1457480014

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Ceres, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
41 Specialists

Practicing in Ceres, CA (23452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License CA D6566716

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Julia Gardea

Technician

NPI 1003314048
Alex Florez , BRIENING INTERN

Counselor - Addiction (Substance Use Disorder)

NPI 1043337686

BRIENINGINTERN

Isaiah Logan

Counselor - Addiction (Substance Use Disorder)

NPI 1053825414
Michael Thompson , RAS, CDAC

Case Manager/Care Coordinator

NPI 1063539856
Harry Mell

Counselor - Addiction (Substance Use Disorder)

NPI 1083852834
NPI 1154666915

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active November 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2017

Registered at 1904 RICHLAND AVE, CERES, CA 953074562 (Tel: 2095412121)

📍
Updated Business Mailing Address November 02, 2017

Registered at 1904 RICHLAND AVE, CERES, CA 953074562 (Tel: 2095412121)

👤
Provider Name / Credentials Updated November 02, 2017

Recorded as ROBERT COSTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2017

Case Manager/Care Coordinator (License #D6566716 in CA)

NPI Profile Active August 19, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2013

Registered at 1904 RICHLAND AVE, CERES, CA 953074562 (Tel: 2095412121)

📍
Updated Business Mailing Address August 19, 2013

Registered at 1904 RICHLAND AVE, CERES, CA 953074562 (Tel: 2095412121)

👤
Provider Name / Credentials Updated August 19, 2013

Recorded as ROBERT COSTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2013

Technician (License #D6566716 in CA)

🟢
Initial NPI Registration & Enumeration May 09, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639514102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2013
Last Update: March 12, 2019
Sole Proprietor: No

Mailing Address

1904 Richland Ave

Ceres, CA 953074562

Phone: 2095412121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.