ROBERTO HERNANDEZ (NPI# 1902279342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902279342 |
| Entity Type | Individual |
| Full Name | ROBERTO HERNANDEZ |
| Practice Address |
1887 Monterey Hwy Ste 205 San Jose CA 95112 |
| Mailing Address |
1887 Monterey Hwy Ste 205 San Jose CA 95112-6192 |
| Practice Telephone | 4089719822 |
| Mailing Telephone | 4089719822 |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2019-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1401 Parkmoor Ave Ste 230, San Jose, CA 951263407 | 4089719822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336681998 | Roberto Hernandez | Behavior Technician | 2547 Sw 90th Ave, Miami, FL 33165-2042 | 2016-11-14 |
| 1144685322 | Roberto Hernandez | Radiologic Technologist | 3014 Mobile Ave, El Paso, TX 79930-3520 | 2015-12-15 |
| 1467672766 | Roberto Hernandez | Optometrist | 1144 Calle Mexico, Plaza De Las Fuentes, Toa Alta, PR 00953-3816 | 2007-04-27 |
| 1487660189 | Roberto Isidro Hernandez Jr. | Physical Therapist | 1000 Crowns Ridge Blvd, Suite C, Eagle Pass, TX 78852 | 2006-08-01 |
| 1144219858 | Roberto J Hernandez | Internal Medicine | 2626 S Loop W Ste 265, Houston, TX 77054 | 2005-10-14 |
| 1285274530 | Roberto Hernandez | Nurse Practitioner | 5915 Ponce De Leon Blvd, Coral Gables, FL 33146-2435 | 2020-01-14 |
| 1538718044 | Roberto Hernandez | Counselor | 13682 Yorba St, Tustin, CA 92780-1831 | 2019-09-06 |
| 1013463215 | Roberto Hernandez | Social Worker | 255 Hwy 187, Hatch, NM 87937-0370 | 2016-08-28 |
| 1285069252 | Roberto Hernandez | Counselor | 4205 W Figarden Dr, Fresno, CA 93722 | 2013-09-10 |
| 1548553753 | Roberto Daniel Hernandez | Case Manager/Care Coordinator | 489 Hialeah Dr, Suite 10, Hialeah, FL 33010-5320 | 2011-05-20 |
| Street Address |
1887 MONTEREY HWY STE 205 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780659763 | Panna R Shah | Psychiatry & Neurology | 1887 Monterey Hwy Ste 205, San Jose, CA 95112 | 2006-02-22 |
| 1790255800 | Kimberly Hsu Yan | Marriage & Family Therapist | 1887 Monterey Hwy Ste 205, San Jose, CA 95112-6192 | 2018-11-30 |
| 1770063901 | Bridget Haerr | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112-6192 | 2018-08-16 |
| 1144707530 | Serenity Cruz Gonzalez | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112-6192 | 2018-07-27 |
| 1093292989 | T.c. N/a Everett Jr. | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112-6192 | 2018-07-24 |
| 1720579360 | Daphne Rael | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112 | 2018-05-18 |
| 1083103824 | Suemy Mariela Hernandez May | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112-6192 | 2018-05-08 |
| 1982107850 | Kanika Soun | Specialist | 1887 Monterey Hwy Ste 205, San Jose, CA 95112 | 2018-03-16 |
| 1760997738 | Exsar Del Real | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112 | 2017-12-12 |
| 1447764659 | Dixa Urbina | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112 | 2017-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1700491800 | Sean Garcia | Counselor | 2959 Carrington Ct, San Jose, CA 95125-4882 | 2020-09-15 |
| 1659985240 | Meng Chang Licensed Marriage and Family Therapist | Counselor | 1174 Lincoln Ave Ste 8, San Jose, CA 95125-3029 | 2020-09-02 |
| 1932721115 | Ellen C Gagne | Counselor | 290 N 2nd St Ste 202, San Jose, CA 95112-4143 | 2020-05-11 |
| 1215566773 | Michelle L. Powers | Counselor | 2 N Market St Ste 500, San Jose, CA 95113-1211 | 2020-04-06 |
| 1841823069 | Ana Gabriella Marquez | Counselor | 298 Bernal Rd # A, San Jose, CA 95119-1809 | 2020-02-17 |
| 1063044741 | Alyssa N Thompson | Counselor | 423 Los Arboles St, San Jose, CA 95111-2344 | 2020-02-10 |
| 1336770288 | Genevieve Altwer | Counselor | 3150 Almaden Expy Ste 223, San Jose, CA 95118-1253 | 2020-01-29 |
| 1477183705 | Benjamin C Jensen | Counselor | 1366 Petal Way, San Jose, CA 95129-4722 | 2020-01-26 |
| 1659910529 | Fred Finch Youth Center | Counselor | 2625 Zanker Rd Ste 122, San Jose, CA 95134-2130 | 2019-12-24 |
| 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.