ALFONSO HERNANDEZ (NPI# 1942283148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942283148 |
| Entity Type | Individual |
| Full Name | ALFONSO HERNANDEZ |
| Credential | LCSW |
| Practice Address |
1717 Las Vegas St Modesto CA 95358-5500 |
| Mailing Address |
737 W Childs Ave Merced CA 95340-6805 |
| Practice Telephone | 2095764200 |
| Practice Fax Number | 2095565047 |
| Mailing Telephone | 2093831848 |
| Mailing Fax Number | 2093843966 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LCS20714 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720502917 | Alfonso Jr Hernandez | Physician Assistant | 466 Horrocks Dr, Blackfoot, ID 83221-3452 | 2017-07-28 |
| 1093285769 | Alfonso Hernandez | Behavior Technician | 4152 W Swift Ave Ste 104, Fresno, CA 93722-6388 | 2018-11-26 |
| 1205314572 | Alfonso Hernandez Jr. | Optometrist | 3505 W Kenosha St, Broken Arrow, OK 74012-8948 | 2018-07-30 |
| 1164818092 | Alfonso Claudio Hernandez | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2015-04-07 |
| Street Address |
1717 LAS VEGAS ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95358-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741139 | Virginia Inthavong | Nurse Practitioner | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2019-10-09 |
| 1245748805 | Yoojin Suh | Nurse Practitioner | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2018-01-17 |
| 1134570864 | Ravindar Kaur | Nurse Practitioner | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2016-06-23 |
| 1942612742 | Rozita Akhbari | Pediatrics | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2014-05-28 |
| 1578814216 | Gabriela Teresita Rodriguez | Social Worker | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2012-09-20 |
| 1023255841 | Mechelle Renee Perea-ryan | Registered Nurse | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2009-01-15 |
| 1740460658 | Jennifer Elizondo | Family Medicine | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2007-11-07 |
| 1033322870 | Golden Valley Health Centers | Social Worker | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2007-05-08 |
| 1942413786 | Golden Valley Health Centers | Family Medicine | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2007-05-08 |
| 1851504690 | Golden Valley Health Centers | Family Medicine | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902321805 | Cecilia Yolanda Guajardo | Counselor | 2524 Finney Road, Ceres, CA 95358 | 2017-08-11 |
| 1205203049 | Olga Olivia Castillo | Case Manager/Care Coordinator | 1620 Cummings Rd, Modesto, CA 95358 | 2015-08-27 |
| 1174942270 | Rajneel Singh | Case Manager/Care Coordinator | 1524 Radcliffe Ave, Modesto, CA 95358 | 2014-04-16 |
| 1447486139 | Karl David Meabrod | Counselor | 190 E. Hackett Rd., Modesto, CA 95358 | 2009-06-08 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1134250400 | Shelley Marie Southern | Marriage & Family Therapist | 1620 Cummins Drive, Modesto, CA 95358 | 2007-03-08 |
| 1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
| 1407347248 | Jamie Lauren Mcgillis | Counselor | 1620 Cummins Dr, Modesto, CA 95358 | 2018-05-29 |
| 1508250135 | Michelle Eldridge | Case Manager/Care Coordinator | 1620 Cummins Drive, Modesto, CA 95358 | 2015-03-20 |
| 1083747604 | Juan Carlos Teran Jr. | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358 | 2007-03-13 |
| Find all providers in zip 95358 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303731 | Youth for Christ Central Valley | Marriage & Family Therapist | 1101 M St, Modesto, CA 95354-0755 | 2020-07-16 |
| 1336629229 | Matina Trigo | Marriage & Family Therapist | 420 Downey Ave, Modesto, CA 95354-1301 | 2018-08-20 |
| 1629558903 | Central Valley Therapeutic Alliance, Inc. | Marriage & Family Therapist | 201 E Orangeburg Ave Ste F, Modesto, CA 95350-5355 | 2018-08-16 |
| 1659888543 | Dr. Irit Goldman Psy.d Lmft | Marriage & Family Therapist | 1604 Ford Ave Ste 1, Modesto, CA 95350-4649 | 2018-01-02 |
| 1013461748 | Pamela Christine Remides | Marriage & Family Therapist | 615 14th St, Modesto, CA 95354-2504 | 2016-08-10 |
| 1073964805 | Dwight Simpson Sr. | Marriage & Family Therapist | 1705 Ardmore Ave, Modesto, CA 95350-4100 | 2016-06-22 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1750620902 | Jacquelyn Irene Mitchell | Marriage & Family Therapist | 3049 Darlene Ln, Modesto, CA 95355-4157 | 2013-02-07 |
| 1891046512 | Brittany Elizabeth Rushin | Marriage & Family Therapist | 1015 12th St Ste 11, Modesto, CA 95354-0838 | 2012-09-20 |
| 1467715979 | Angela Jean Kelley | Marriage & Family Therapist | 1809 Lobero Ln, Modesto, CA 95355-2521 | 2012-06-19 |
| Find all providers in MODESTO | ||||
Please comment or provide details below to improve the information on ALFONSO 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.