MISS MAYRA POULETTE HERNANDEZ (NPI# 1619501582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619501582 |
| Entity Type | Individual |
| Full Name | MISS MAYRA POULETTE HERNANDEZ |
| Practice Address |
100 W Walnut St Ste 375 Pasadena CA 91124-0001 |
| Practice Telephone | 6263957100 |
| Mailing Telephone | 6263957100 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| 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 |
|---|---|---|---|---|
| 1235750266 | Mayra Alejandra Hernandez | Social Worker | 130 W Manchester Ave, Los Angeles, CA 90003-3324 | 2020-04-30 |
| 1316318215 | Mayra Yessel Hernandez | Licensed Practical Nurse | 84 Henry St, Roosevelt, NY 11575-1305 | 2015-10-18 |
| 1275703860 | Mayra Hernandez | Respiratory Therapist, Registered | 4801 Ne 8th Ave, Oakland Park, FL 33334-3215 | 2008-03-10 |
| 1154469344 | Mayra Carolina Hernandez | Licensed Vocational Nurse | 12441 Squaw Valley Ln, Victorville, CA 92395-8843 | 2007-02-01 |
| 1043823412 | Mayra Hernandez | Behavior Technician | 202 E Airport Dr Ste 150, San Bernardino, CA 92408-3429 | 2020-08-26 |
| 1649899584 | Mayra Hernandez | Technician | 1630 Park Rd Nw Apt 406, Washington, DC 20010-2142 | 2020-04-10 |
| 1376186197 | Mayra Hernandez | Student in an Organized Health Care Education/Training Program | 600 N Alameda St, Compton, CA 90221-2605 | 2019-10-24 |
| 1376192062 | Mayra Hernandez | Counselor | 130 W Gabilan St, Salinas, CA 93901-2762 | 2019-09-05 |
| 1801443486 | Mayra Hernandez | Counselor | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-08-20 |
| 1508422312 | Mayra Hernandez | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2019-05-16 |
| Street Address |
100 W WALNUT ST STE 375 |
| City | PASADENA |
| State | CA |
| Zip Code | 91124-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767642 | Paul Dante Jacoy | Chiropractor | 100 W Walnut St Ste 375, Pasadena, CA 91124-1220 | 2005-06-01 |
| 1760082770 | Haley A Land | Social Worker | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2020-10-28 |
| 1043817406 | Christie Leung | Social Worker | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2020-10-07 |
| 1710584784 | Ashley Fermin | Rehabilitation Practitioner | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2020-10-02 |
| 1881291086 | Andrea M. Gonzalez | Marriage & Family Therapist | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2020-10-01 |
| 1023625761 | Georgie Irene Rogers | Marriage & Family Therapist | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2020-09-27 |
| 1548877640 | Sharon Patricia Martinez | Rehabilitation Practitioner | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2020-09-23 |
| 1346857414 | Brittany Lauren Ramirez | Rehabilitation Practitioner | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2020-09-23 |
| 1588279632 | D'andra Pearl Johnson | Marriage & Family Therapist | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2020-09-14 |
| 1629683164 | Virginia Gonzalez Lopez | Rehabilitation Practitioner | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629556964 | Elizabeth Ortiz | Marriage & Family Therapist | 100 W Walnut Streer, Pasadena, CA 91124 | 2018-07-30 |
| 1144755679 | Victoria Bates | Marriage & Family Therapist | 100 W Walnut St. Suite 375, Pasadena, CA 91124 | 2017-04-21 |
| 1295015287 | Jacqueline Zarate | Marriage & Family Therapist | 100 W Walnut St # 375, Pasadena, CA 91124 | 2011-08-22 |
| 1922475979 | Kelly K Choi | Social Worker | 100 W Walnut St # 375, Pasadena, CA 91124 | 2015-08-25 |
| 1770902751 | Araceli Gomez | Social Worker | 100 W Walnut St # 375, Pasadena, CA 91124 | 2014-04-07 |
| 1336791375 | Jianyin Li | Student in an Organized Health Care Education/Training Program | 100 W Wanut Street Suite 375, Pasadena, CA 91124-0001 | 2019-07-10 |
| 1851926588 | Alicia Lagos | Marriage & Family Therapist | 100 W Walnut St, Pasadena, CA 91124-0001 | 2020-03-03 |
| 1518590074 | Annie Rodas | Marriage & Family Therapist | 100 W Walnut St, Pasadena, CA 91124-0001 | 2020-02-12 |
| 1326695099 | Serena Garcia | Rehabilitation Practitioner | 100 W Walnut St # 375, Pasadena, CA 91124-0001 | 2019-08-19 |
| 1740835594 | Teresa Ruiz Lorenzo | Rehabilitation Practitioner | 100 W Walnut St # 375, Pasadena, CA 91124-0001 | 2019-08-08 |
| Find all providers in zip 91124 | ||||
| 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 |
|---|---|---|---|---|
| 1669008991 | Delman Lee Williams | Rehabilitation Practitioner | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-03-18 |
| 1548805344 | Aimee Isabelle Rodriguez | Rehabilitation Practitioner | 100 W Walnut St Ste 375110, Pasadena, CA 91103-3697 | 2019-11-15 |
| 1518427830 | Samantha Jo Elvira Haun | Rehabilitation Practitioner | 867 N Fair Oaks Ave # 867, Pasadena, CA 91103-3050 | 2019-03-22 |
| 1477041580 | Imani Nicole Glenn | Rehabilitation Practitioner | 1575 E Washington Blvd, Pasadena, CA 91104-2675 | 2018-04-24 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1366821613 | Claudia Boileu-flores | Rehabilitation Practitioner | 940 Avenue, 64, Pasadena, CA 91105 | 2015-05-20 |
| 1497161756 | Marine Bambakyan | Rehabilitation Practitioner | 66 Hurlbut St Fl 2, Pasadena, CA 91105-4026 | 2014-07-08 |
| Find all providers in PASADENA | ||||
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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.