Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336861038 Individual Practitioner Male Practitioner

Bennett Agubata

Case Manager/Care Coordinator • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Bennett Agubata is a registered healthcare professional specializing in Case Manager/Care Coordinator in Riverside, CA. Practice services are available at 5425 SIERRA VISTA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5425 Sierra Vista Ave

Riverside, CA 925053113

Telephone 9512997545
Associated Practice Facility / Clinic
🏢 Harvest Safe Haven For Boys Facility NPI 1174132807

Specialty Benchmarks & Practice Insights

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

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

Practicing in Riverside, 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

CMS Verified: 2024-02-15
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

7 Associated Practitioners
Ike Kerhulas

Marriage & Family Therapist

NPI 1073706966
NPI 1184458002

ACSW#

NPI 1366109266

Associate Social Worker

Citlali Hernandez

Case Manager/Care Coordinator

NPI 1376280560
Jacob Edwards

Marriage & Family Therapist

NPI 1447070990
Kevin Puckett

Case Manager/Care Coordinator

NPI 1619614807

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location February 15, 2024

Registered at 5425 SIERRA VISTA AVE, RIVERSIDE, CA 925053113 (Tel: 9512997545)

📍
Updated Business Mailing Address February 15, 2024

Registered at 5425 SIERRA VISTA AVE, RIVERSIDE, CA 925053113 (Tel: 9512997545)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2024

Case Manager/Care Coordinator

📍
Updated Practice Location October 09, 2023

Registered at 24081 SANDY GLADE AVE, MORENO VALLEY, CA 925575529 (Tel: 9517859464)

📍
Updated Business Mailing Address October 09, 2023

Registered at 24081 SANDY GLADE AVE, MORENO VALLEY, CA 925575529 (Tel: 9517859464)

NPI Profile Active September 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2022

Registered at 27349 JEFFERSON AVE STE 204, TEMECULA, CA 925905612 (Tel: 9514663032)

📍
Updated Business Mailing Address September 19, 2022

Registered at 27349 JEFFERSON AVE STE 204, TEMECULA, CA 925905612 (Tel: 9514663032)

👤
Provider Name / Credentials Updated September 19, 2022

Recorded as BENNETT AGUBATA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2022

Behavior Technician

🟢
Initial NPI Registration & Enumeration September 19, 2022

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: 1336861038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2022
Last Update: February 15, 2024
Sole Proprietor: No

Mailing Address

5425 Sierra Vista Ave

Riverside, CA 925053113

Phone: 9512997545

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.