NANNETTE HERNANDEZ (NPI# 1720689474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720689474 |
Entity Type | Individual |
Full Name | NANNETTE HERNANDEZ |
Practice Address |
2275 S Main St Ste 201 Corona CA 92882-5303 |
Practice Telephone | 9512793222 |
Practice Fax Number | 9512795222 |
Mailing Telephone | 9512793222 |
Mailing Fax Number | 9512795222 |
Enumeration Date | 2020-11-07 |
Last Update Date | 2020-11-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | A3731894 | CA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | A3731894 | 05 |
Street Address |
2275 S MAIN ST STE 201 |
City | CORONA |
State | CA |
Zip Code | 92882-5303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720090640 | Regina M Pinto | Psychologist | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2006-08-12 |
1982205027 | Vanessa Duarte | Counselor | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-11-04 |
1710501697 | Brittany Lee | Peer Specialist | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-06-05 |
1962035592 | Ladonna Lisa Robinson | Case Manager/Care Coordinator | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-02-21 |
1831722784 | Marrenda Price | Case Manager/Care Coordinator | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-02-19 |
1407487242 | Leslie Aileen Guerrero | Case Manager/Care Coordinator | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-01-30 |
1982234506 | Marlena Moss | Counselor | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-01-23 |
1790324036 | Sonia Bernice Serna-sanchez | Marriage & Family Therapist | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-01-03 |
1316580673 | Dayrin Y Diaz | Counselor | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2019-10-18 |
1275175101 | Fernando Antonio Callejas | Counselor | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2019-10-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
Find all providers in zip 92882 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710501697 | Brittany Lee | Peer Specialist | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
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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.