ANDREA HERNANDEZ (NPI# 1780207571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780207571 |
| Entity Type | Individual |
| Full Name | ANDREA HERNANDEZ |
| Practice Address |
1885 Lundy Ave Ste 223 San Jose CA 95131-1888 |
| Mailing Address |
1331 Naglee Ave San Jose CA 95126-2015 |
| Practice Telephone | 4088166174 |
| Mailing Telephone | 4089105655 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 41670 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633706 | Andrea Monserrat Hernandez | Specialist/Technologist, Other | 9018 Savannah Loop, Laredo, TX 78046-5180 | 2020-09-10 |
| 1508059254 | Andrea Hernandez | Social Worker | 300 Longwood Ave, Bader 5, Ch Department of Social Work, Boston, MA 02115 | 2007-08-24 |
| 1225674435 | Andrea Hernandez | Behavioral Analyst | 14828 Serenita Ave, Oklahoma City, OK 73134 | 2019-11-22 |
| 1679117360 | Andrea Hernandez | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2019-11-05 |
| 1891349700 | Andrea Maria Hernandez | Recreation Therapist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2019-07-29 |
| 1295396620 | Andrea Hernandez | Behavior Technician | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2019-06-26 |
| 1417517376 | Andrea Hernandez | Social Worker | 1000 W Carson St, Torrance, CA 90502-2004 | 2019-06-13 |
| 1467016196 | Andrea Lourdes Hernandez | Student in an Organized Health Care Education/Training Program | 9330 State Road 54, Trinity, FL 34655-1808 | 2019-04-29 |
| 1578126140 | Andrea Raquel Hernandez | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-11-ag062, Temple, TX 76508 | 2019-04-18 |
| 1003375171 | Andrea Hernandez | Behavior Technician | 1320 E Shaw Ave Ste 110, Fresno, CA 93710-7905 | 2019-03-18 |
| Street Address |
1885 LUNDY AVE STE 223 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95131-1888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730256371 | Cynthia Eloisa Silva | Counselor | 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 | 2006-11-29 |
| 1346854056 | Jocelyn Amaya Juarez | Counselor | 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 | 2020-09-01 |
| 1184244824 | Breanna Garcia | Counselor | 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 | 2020-04-22 |
| 1265061048 | Amada Montelongo | Counselor | 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 | 2020-04-03 |
| 1417580184 | Alicia Dinniene Viviani | Marriage & Family Therapist | 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 | 2020-02-20 |
| 1427691534 | Ashley Lakely | Counselor | 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 | 2019-10-21 |
| 1093358426 | Jannean Stamatelatos Pisoni | Counselor | 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 | 2019-10-17 |
| 1366092660 | Christine Marie Raco | Counselor | 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 | 2019-09-18 |
| 1598312852 | Renee Briell Behan | Counselor | 1885 Lundy Ave Ste 223, San Jose, CA 95131 | 2019-08-21 |
| 1316411564 | Alejandra Fernandez | Counselor | 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 | 2019-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346881489 | Herbal Lands Inc | Acupuncturist | 2485 Autumnvale Dr, Ste D, San Jose, CA 95131 | 2019-09-30 |
| 1194373340 | Leylard Santos Caballes | Home Health Aide | 2272 Zoria Circle, San Jose, CA 95131 | 2019-08-30 |
| 1851953848 | Nu Herbal House | Chiropractor | 2092 Concourse Dr #85, San Jose, CA 95131 | 2019-07-01 |
| 1316417900 | Peter Cellarius | Behavior Technician | 2010 N. First St. Ste 402, San Jose, CA 95131 | 2018-11-27 |
| 1285103697 | Connie Bustillo | Case Manager/Care Coordinator | 1356 Ridder Park Drive, San Jose, CA 95131 | 2018-11-14 |
| 1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
| 1376072637 | Lee's Care Home | Assisted Living Facility | 5225 Gallant Fox Avenue, San Jose, CA 95131 | 2017-06-08 |
| 1972984649 | Maria De La Luz Gonzalez | Counselor | 1885 Lundy Ave. Suite 223, San Jose, CA 95131 | 2015-06-17 |
| 1720470412 | Bridget Martinez | Physical Therapist | 1172 Murphy Ave #227, San Jose, CA 95131 | 2015-03-04 |
| 1609275593 | Cheryl Lozano | Community Health Worker | 1885 Lundy Ave, Ste 223, San Jose, CA 95131 | 2014-08-18 |
| Find all providers in zip 95131 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144716705 | Esmeralda Tinoco | Licensed Psychiatric Technician | 871 Enborg Court, San Jose, CA 95128 | 2018-07-06 |
| 1346754025 | Isata S Mbawa | Licensed Psychiatric Technician | 4987 Speak Ln, San Jose, CA 95118-2767 | 2017-11-16 |
| 1629512421 | Godwin Kebila Kaba | Licensed Psychiatric Technician | 344 Los Pinos Way, San Jose, CA 95123-5117 | 2016-12-13 |
| 1457762767 | Baltazar Pulido | Licensed Psychiatric Technician | 2459 Jubilee Ln, San Jose, CA 95131-1987 | 2014-05-08 |
| 1750404570 | Jose Soliz | Licensed Psychiatric Technician | 277 Omira Dr, San Jose, CA 95123-3635 | 2007-04-08 |
| 1437756913 | Juan Ramon Zago | Licensed Psychiatric Technician | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2020-10-07 |
| 1851916415 | Zekarias Eyassu | Licensed Psychiatric Technician | 1425 Fruitdale Ave, San Jose, CA 95128-3234 | 2020-06-10 |
| 1700426350 | Christianna Paula Mathews | Licensed Psychiatric Technician | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-01-12 |
| 1376189928 | Alma Valencia Chacon | Licensed Psychiatric Technician | 2001 The Alameda, San Jose, CA 95126-1136 | 2019-11-19 |
| 1295370666 | Henry Thinh Duong | Licensed Psychiatric Technician | 2001 The Alameda, San Jose, CA 95126-1136 | 2019-11-08 |
| Find all providers in SAN JOSE | ||||
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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.