JACQUELINE HERNANDEZ (NPI# 1184177578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184177578 |
| Entity Type | Individual |
| Full Name | JACQUELINE HERNANDEZ |
| Practice Address |
108 W Victoria St Gardena CA 90248-3523 |
| Mailing Address |
674 Saybrook Ave Los Angeles CA 90022-3634 |
| Practice Telephone | 3107152020 |
| Mailing Telephone | 3237810188 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861762965 | Jacqueline Hernandez | Psychologist | 344 Carnation Dr, Farmingdale, NY 11735-7014 | 2012-01-05 |
| 1497074413 | Jacqueline Marie Hernandez | Licensed Practical Nurse | 1323a Indiana Ave, Sheboygan, WI 53081-4848 | 2010-06-01 |
| 1477780021 | Jacqueline Hernandez | Pediatrics | 285 Mcclellan St, Perth Amboy, NJ 08861-4319 | 2009-06-22 |
| 1063051605 | Jacqueline Hernandez | Case Manager/Care Coordinator | 1660 Hotel Cir N Ste 314, San Diego, CA 92108-2803 | 2019-12-30 |
| 1386104701 | Jacqueline Elizabeth Hernandez | Case Manager/Care Coordinator | 2248 Obispo Ave, Signal Hill, CA 90755-4026 | 2019-03-21 |
| 1083193056 | Jacqueline Allegro Hernandez | Speech-Language Pathologist | 144 Continente Ave, Brentwood, CA 94513-1999 | 2018-08-10 |
| 1528546942 | Jacqueline Hernandez | Counselor | 233 S Quintana Dr, Anaheim, CA 92807-4029 | 2018-07-30 |
| 1407370612 | Jacqueline A Hernandez | Counselor | 4201 Medical Dr Ste 330, San Antonio, TX 78229-5805 | 2017-07-29 |
| 1255676938 | Jacqueline Hernandez | Case Manager/Care Coordinator | 1901 E 4th St, Suite 310, Santa Ana, CA 92701 | 2012-12-06 |
| 1699029223 | Jacqueline Hernandez | Case Manager/Care Coordinator | 1320 S Solano Dr, Las Cruces, NM 88001-3758 | 2012-11-05 |
| Street Address |
108 W VICTORIA ST |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-3523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083783906 | Stan Benoit | Marriage & Family Therapist | 108 W Victoria St, Gardena, CA 90248-3523 | 2006-11-07 |
| 1891319554 | Perla Judith Medina Meza | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2020-05-29 |
| 1558984351 | Laura Fabiola Gutierrez Duarte | Marriage & Family Therapist | 108 W Victoria St, Gardena, CA 90248-3523 | 2020-05-27 |
| 1619507365 | Diego E. Flores | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2020-01-22 |
| 1790325736 | Amy Alejo | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2020-01-07 |
| 1366089716 | Flor Argueta | Counselor | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-12-04 |
| 1760026348 | Sean Paul Guilford | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-11-06 |
| 1528609823 | Ryan Kohl | Occupational Therapist | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-10-08 |
| 1588205470 | Karina Noemi Garcia | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-10-02 |
| 1952951360 | Amy Chacon | Marriage & Family Therapist | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295266609 | Maria Amezcua | Rehabilitation Practitioner | 108 W Victoria Street, Gardena, CA 90047 | 2017-03-27 |
| 1184860389 | Antwuan M. Giddens | Rehabilitation Practitioner | 515 W Gardena Blvd Unit 74, Gardena, CA 90248-2670 | 2008-12-18 |
| 1972632487 | Frank Lucas Salceda | Rehabilitation Practitioner | 130 W. Victoria Street, Gardena, CA 90248 | 2007-03-02 |
| 1891319554 | Perla Judith Medina Meza | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2020-05-29 |
| 1619507365 | Diego E. Flores | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2020-01-22 |
| 1790325736 | Amy Alejo | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2020-01-07 |
| 1760026348 | Sean Paul Guilford | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-11-06 |
| 1588205470 | Karina Noemi Garcia | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-10-02 |
| 1588229249 | Yazmin Dianna Alvarez | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-05-07 |
| 1033671573 | Gladys Cota | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-04-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.