Candace Jimenez-logan, is a
Community Health Worker based in Ontario, California. Candace Jimenez-logan is licensed to practice in * (Not Available) (license number ) and her current practice location is
316 E E St, Ontario, California. She can be reached at her office (for appointments etc.) via phone at
(909) 983-4466.
NPI number for Candace Jimenez-logan is 1316427784 and her current mailing address is 11556 Barrett Dr, Rancho Cucamonga, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316427784.
Healthcare Provider's Profile
| Full Name | Candace Jimenez-logan |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 316 E E St, Ontario, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316427784
- Provider Enumeration Date: 08/15/2018
- Last Update Date: 06/06/2024
Medical Identifiers
Medical identifiers for Candace Jimenez-logan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316427784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candace Jimenez-logan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Candace Jimenez-logan,
11556 Barrett Dr,
Rancho Cucamonga, CA 91730-7249
Ph: () - | Candace Jimenez-logan,
316 E E St,
Ontario, CA 91764-3712
Ph: (909) 983-4466 |
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