MAYRA HERNANDEZ-MORALES (NPI# 1508210790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508210790 |
| Entity Type | Individual |
| Full Name | MAYRA HERNANDEZ-MORALES |
| Practice Address |
3569 Lexington Ave El Monte CA 91731 |
| Mailing Address |
3569 Lexington Ave El Monte CA 91731-2607 |
| Practice Telephone | 6264533399 |
| Mailing Telephone | 6264533399 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9808 Venice Blvd, Ste. 505, Culver City, CA 902322732 | 3109453350 | 3109453356 |
| Street Address |
3569 LEXINGTON AVE |
| City | EL MONTE |
| State | CA |
| Zip Code | 91731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669599759 | Stephanie Joy Shockney | Counselor | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2007-03-23 |
| 1245837509 | Brianna Caitlin Widman | Rehabilitation Practitioner | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2020-10-08 |
| 1063020741 | Adriana Maria Ramirez | Student in an Organized Health Care Education/Training Program | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2020-07-17 |
| 1134747652 | Jessica Michelle Rios Martinez | Student in an Organized Health Care Education/Training Program | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2020-07-10 |
| 1396384780 | Brian Christian Villagrana | Counselor | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2020-01-02 |
| 1316583867 | Joel Alcantar | Counselor | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2019-11-19 |
| 1255975546 | Camille Bulaclac | Counselor | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2019-10-30 |
| 1679128748 | Judith Gonzalez | Student in an Organized Health Care Education/Training Program | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2019-08-06 |
| 1104487867 | Cinthia Lopez | Counselor | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2019-06-24 |
| 1467010553 | Mark Anthony Serrano | Counselor | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2019-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965994 | Anahi Mora | Case Manager/Care Coordinator | 3629 Santa Anita Ave, El Monte, CA 91731 | 2019-11-05 |
| 1346882321 | Rosemary Pespisa | Technician | 10558 Emery St., El Monte, CA 91731 | 2019-10-11 |
| 1962058123 | Maria Jesusa Gabriel | Licensed Vocational Nurse | 11041 E. Valley Blvd., El Monte, CA 91731 | 2019-08-14 |
| 1346720679 | Ivan Bustamante | Counselor | 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA 91731 | 2018-08-16 |
| 1891213229 | Abbye Williams | Counselor | 11100 Valley Blvd Suite 116, El Monte, CA 91731 | 2017-09-06 |
| 1215467279 | All Health Alliance Medical Group, Inc. | Physical Medicine & Rehabilitation | 10505 Valley Boulevard, #238, El Monte, CA 91731 | 2017-06-13 |
| 1427416486 | Mai Le | Counselor | 11041 E. Valley Blvd, El Monte, CA 91731 | 2016-02-05 |
| 1235526724 | Kristine Malana | Social Worker | 10418 E. Valley Blvd., Suite A, El Monte, CA 91731 | 2015-04-22 |
| 1376980250 | Aura Hernandez | Rehabilitation Practitioner | 9865 Baldwin Pl., El Monte, CA 91731 | 2013-05-31 |
| 1639411754 | Roxana Yaneth De Paz | Nurse's Aide | 10481 Valley Blvd., El Monte, CA 91731 | 2013-03-27 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303093 | Rita Ka Yan Chan | Student in an Organized Health Care Education/Training Program | 11427 Elmcrest St, El Monte, CA 91732-1806 | 2019-08-28 |
| 1952959793 | Charlene Dinh | Student in an Organized Health Care Education/Training Program | 4340 Fandon Ave, El Monte, CA 91732-1918 | 2019-08-26 |
| 1689035420 | Trang Tiffany Vu | Student in an Organized Health Care Education/Training Program | 12121 Ranchito St, El Monte, CA 91732-1623 | 2016-03-08 |
| 1114322062 | Brenda Ho | Student in an Organized Health Care Education/Training Program | 11729 Ranchito St, El Monte, CA 91732-1317 | 2014-11-04 |
| 1952720013 | Derek Yu Hsu | Student in an Organized Health Care Education/Training Program | 3598 Meadowlark St, El Monte, CA 91732-4309 | 2014-04-15 |
| 1154503886 | Laura Marie Smith | Student in an Organized Health Care Education/Training Program | 4501 Santa Anita Ave, El Monte, CA 91731-1317 | 2007-12-05 |
| 1376153379 | Giselle Rivas | Student in an Organized Health Care Education/Training Program | 3629 Santa Anita Ave Ste 201, El Monte, CA 91731-3635 | 2020-08-04 |
| 1225647126 | Stephanie Campos | Student in an Organized Health Care Education/Training Program | 3629 Santa Anita Ave Ste 201, El Monte, CA 91731-3635 | 2020-07-27 |
| 1215546114 | Heydi Padilla | Student in an Organized Health Care Education/Training Program | 3629 Santa Anita Ave Ste 201, El Monte, CA 91731-3635 | 2020-07-27 |
| 1881202356 | Diana Lissette Campos | Student in an Organized Health Care Education/Training Program | 11429 Valley Blvd, El Monte, CA 91731-3229 | 2020-07-21 |
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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.