Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174005995 Individual Practitioner Male Practitioner

Jesse Wallace

Case Manager/Care Coordinator • Chatsworth, CA

Professional Overview & Biography Verified Profile Summary

Jesse Wallace is a registered healthcare professional specializing in Case Manager/Care Coordinator in Chatsworth, CA. Practice services are available at 21000 PLUMMER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21000 Plummer St

Chatsworth, CA 913114903

Telephone 8188826400
Associated Practice Facility / Clinic
🏢 Earl Petrus Md Inc Facility NPI 1770778490

Specialty Benchmarks & Practice Insights

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

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

Practicing in Chatsworth, 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

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
Jeanette Gavia

Rehabilitation Practitioner

NPI 1003456443
Aubree Sweeney

Marriage & Family Therapist

NPI 1013020007
Estefania Landeros , MSW

Social Worker - Clinical

NPI 1013586007

Master of Social Work

Dominic Ceroni , MS

Student in an Organized Health Care Education/Training Program

NPI 1023573110

Master of Science

Ivan Gonzalez

Student in an Organized Health Care Education/Training Program

NPI 1073496501
Lemuel Oggs

Rehabilitation Practitioner

NPI 1083196265

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2018

Registered at 21000 PLUMMER ST, CHATSWORTH, CA 913114903 (Tel: 8188826400)

📍
Updated Business Mailing Address August 29, 2018

Registered at 21000 PLUMMER ST, CHATSWORTH, CA 913114903 (Tel: 8188826400)

👤
Provider Name / Credentials Updated August 29, 2018

Recorded as JESSE WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2018

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration August 29, 2018

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: 1174005995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2018
Last Update: August 29, 2018
Sole Proprietor: No

Mailing Address

21000 Plummer St

Chatsworth, CA 913114903

Phone: 8188826400

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.