JAIME HERNANDEZ (NPI# 1154753861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154753861 |
| Entity Type | Organization |
| Organization Name | JAIME HERNANDEZ |
| Practice Address |
306 Spruce Ave South San Francisco CA 94080-2741 |
| Practice Telephone | 6505899305 |
| Practice Fax Number | 6505899330 |
| Mailing Telephone | 6505899305 |
| Mailing Fax Number | 6505899330 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Authorized Official Name | MR. JAIME HERNANDEZ (COUNSELOR) |
| Authorized Official Telephone | 6506126310 |
| Authorized Official Credential | CATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 102476 | CA | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Jaime Hernandez Jr., LLC | 1650 Raleigh St, Unit 126, Denver, CO 80204 |
| Street Address |
306 SPRUCE AVE |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94080-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609812148 | County of San Mateo | Clinic/Center | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2006-06-22 |
| 1831799972 | Derrick Martin Jr. | Rehabilitation Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2020-10-28 |
| 1124635925 | Jenny Punzalan Jover | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2020-09-25 |
| 1861968323 | Vicken Harout Balian | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2018-10-22 |
| 1457885428 | Cyndy Sweet | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2017-04-17 |
| 1679007876 | Charles Tyson | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2017-04-13 |
| 1245781798 | Jimmy Yang Liang | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2016-10-19 |
| 1093268500 | Sandra Gomez | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2016-08-01 |
| 1285044628 | Joseph A. Wagenhofer | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2014-05-07 |
| 1245582618 | Debbie Madden | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2012-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
| 1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
| 1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
| 1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
| 1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
| 1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
| Find all providers in zip 94080 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336438621 | Healthright 360 | Community/Behavioral Health | 650 Sunset Ave, South San Francisco, CA 94080-7343 | 2011-04-07 |
| 1053633198 | Desicouch | Community/Behavioral Health | 61 Airport Blvd., Ste. C, South San Francisco, CA 94080 | 2010-02-17 |
| 1568506244 | Aspiranet | Community/Behavioral Health | 400 Oyster Point Blvd, Suite 501, South San Francisco, CA 94080-1904 | 2007-02-16 |
| 1578053377 | Unity Care Group, Inc. | Community/Behavioral Health | 403 W Orange Ave, South San Francisco, CA 94080-4443 | 2018-05-16 |
| 1013389725 | Edgewood Center for Children and Families | Community/Behavioral Health | 170 S Spruce Ave, Suite 250, South San Francisco, CA 94080 | 2015-10-21 |
| 1457646960 | Sitike,inc | Community/Behavioral Health | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2011-06-13 |
| 1477700052 | Telecare Corporation | Community/Behavioral Health | 1475 Huntington Ave Ste 150, South San Francisco, CA 94080-5975 | 2008-08-26 |
| 1568582526 | Ymca of San Francisco | Community/Behavioral Health | 1486 Huntington Ave, South San Francisco, CA 94080-5970 | 2007-03-30 |
| 1265563688 | Healthright 360 | Community/Behavioral Health | 1115 Mission Rd, South San Francisco, CA 94080-1302 | 2007-03-08 |
| 1134250913 | Healthright 360 | Community/Behavioral Health | 1115 Mission Rd, South San Francisco, CA 94080-1302 | 2007-03-07 |
| Find all providers in SOUTH SAN FRANCISCO | ||||
| City | SOUTH SAN FRANCISCO |
| Zip Code | 94080 |
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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.