Elisha Janell Hernandez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

613945 Issued in CA

Practice address

855 3Rd Ave Ste 1110
Chula Vista, CA 91911-1350

Phone

(619) 934-5770

NPI assigned

Feb 28, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1013474741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 3RD AVE STE 1110",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111350",
            "telephone_number": "619-601-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 3RD AVE STE 1110",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111350",
            "telephone_number": "619-934-5770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Johnson Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920201651",
            "country_code": "US",
            "telephone_number": "619-465-7303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2810 Camino Del Rio S Ste 106",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083819",
            "country_code": "US",
            "telephone_number": "619-601-1393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELISHA",
        "middle_name": "JANELL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "613945",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "613945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "613945",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Leticia Hernandez, DDS
• Christina Hernandez
• Cristina Hernandez, LMFT
• Deborah Hernandez
• Denisse L Hernandez
• Giovan Hernandez
• Isis Hernandez
• Jenin Hernandez
• Jessica M Hernandez, RBT
• Jessica Yvette Hernandez

• Registered Nurse in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.