JAIME HERNANDEZ (NPI# 1568988657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568988657 |
| Entity Type | Individual |
| Full Name | JAIME HERNANDEZ |
| Credential | AOD |
| Practice Address |
907 Pico Blvd Santa Monica CA 90405-1326 |
| Mailing Address |
768 Bradshawe St Montebello CA 90640-1504 |
| Practice Telephone | 3103146200 |
| Mailing Telephone | 3233998523 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RI-H1310020659 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 905 Pico Blvd, Santa Monica, CA 904051326 | 3103146200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508360579 | Jaime Hernandez | Massage Therapist | 414 W Bakerview Rd Ste 110, Bellingham, WA 98226-8180 | 2018-03-22 |
| 1134581648 | Jaime Joel Hernandez | Counselor | 579 Courtlandt Ave, Bronx, NY 10451-5013 | 2016-03-23 |
| 1083095459 | Jaime Hernandez | Case Manager/Care Coordinator | 904 E Fairview Ln, B, Espanola, NM 87532-2822 | 2015-06-11 |
| 1902208986 | Jaime Hernandez | Rehabilitation Practitioner | 13130 Burbank Blvd, Sherman Oaks, CA 91401-6037 | 2014-09-21 |
| 1598035891 | Jaime Hernandez | Case Manager/Care Coordinator | 3209 N Alameda St, Compton, CA 90222-1406 | 2012-01-04 |
| 1518252667 | Jaime Hernandez | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2011-06-16 |
| 1699909101 | Jaime D Hernandez | Orthopaedic Surgery | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2009-05-12 |
| 1053558130 | Jaime Hernandez | Dental Assistant | 2604 S Vermont Ave Ste F, Los Angeles, CA 90007-2298 | 2009-01-12 |
| 1700067337 | Jaime Hernandez | Internal Medicine | 524 S Cage, Ste F, Pharr, TX 78577-5448 | 2007-11-26 |
| 1861600546 | Jaime Iram Hernandez | Dentist | 6221 Wilshire Blvd, Suite 310, Los Angeles, CA 90048-5201 | 2007-05-18 |
| Street Address |
907 PICO BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90405-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912152059 | Gary Robert Bergner | Licensed Vocational Nurse | 907 Pico Blvd, Santa Monica, CA 90405 | 2008-11-17 |
| 1033692249 | Monique Starr Brown | Licensed Vocational Nurse | 907 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-09-13 |
| 1558842567 | Miguel Hernandez | Counselor | 907 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-08-27 |
| 1316435480 | Chase Augusto Carbonati | Counselor | 907 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-04-24 |
| 1710498787 | Kate Elizabeth Carnahan | Counselor | 907 Pico Blvd, Santa Monica, CA 90405-1326 | 2017-10-18 |
| 1215447800 | Victor Hugo Vega | Counselor | 907 Pico Blvd, Santa Monica, CA 90405-1326 | 2017-10-09 |
| 1659893485 | Becky Ione Rau | Social Worker | 907 Pico Blvd, Santa Monica, CA 90405-1326 | 2017-07-13 |
| 1841735156 | Terry Lewis | Counselor | 907 Pico Blvd, Santa Monica, CA 90405-1326 | 2016-12-21 |
| 1821532557 | Derek Bynum | Counselor | 907 Pico Blvd, Santa Monica, CA 90405-1326 | 2016-12-15 |
| 1245774009 | Michael Murray | Counselor | 907 Pico Blvd, Santa Monica, CA 90405-1326 | 2016-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328476 | Nicole Ryan Harbeck | Marriage & Family Therapist | 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 | 2019-07-19 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1285171371 | Jori Adler Marriage & Family Therapy Prof. Corp. | Marriage & Family Therapist | 3400 Airport Ave Ste 30, Santa Monica, CA 90405 | 2017-01-26 |
| 1376993147 | Damoan Corp. | Speech-Language Pathologist | 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 | 2016-06-13 |
| 1427410034 | Adam Rubio | Clinical Neuropsychologist | 1916 4th Street, Santa Monica, CA 90405 | 2016-03-23 |
| 1760852842 | Yramnna Smith | Behavioral Analyst | 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 | 2015-10-01 |
| 1689086076 | Cheryl K. Baker | Community Health Worker | 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 | 2014-05-20 |
| 1629409891 | Dominique M. Delvecchio | Nurse Practitioner | 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 | 2013-12-12 |
| 1639512692 | Nancy Elizabeth Hyland | Marriage & Family Therapist | 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 | 2013-04-09 |
| Find all providers in zip 90405 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036620 | Rachelle Tratt | Counselor | 2424 3rd St, Santa Monica, CA 90405-3603 | 2020-09-02 |
| 1972138238 | Sud Specialty Group - Ca | Counselor | 520 Broadway Ste 200, Santa Monica, CA 90401-2470 | 2020-03-06 |
| 1063052215 | Julia Leah Kayton | Counselor | 624 22nd St, Santa Monica, CA 90402-3122 | 2020-01-15 |
| 1013473784 | Ariana Gravanis | Counselor | 3101 Ocean Park Blvd Ste 309, Santa Monica, CA 90405-3022 | 2019-02-18 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1891135992 | Ronald Yos | Counselor | 2444 Chelsea Pl Apt A, Santa Monica, CA 90404-2072 | 2013-07-03 |
| 1619238920 | Lucille I Sipert | Counselor | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2012-06-04 |
| 1861518227 | Iris Leary | Counselor | 1334 Lincoln Blvd, Santa Monica, CA 90401-1706 | 2007-03-21 |
| 1205441219 | Shannon Yvvette Wright | Counselor | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2020-09-15 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90405 |
Please comment or provide details below to improve the information on JAIME HERNANDEZ.
| 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.