Individual provider Active NPI

Fernando Hernandez I, MSW

  • Clinical Social Worker
  • Delano, CA
National Provider Identifier
1053955286
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW109314 Issued in CA
Practice address
1508 Garces Hwy Ste 1
Delano, CA 93215-3607
Phone
(661) 725-4780
Fax
(661) 725-1048
NPI assigned
Oct 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X LCSW109314 CA Primary

Addresses

Primary practice location

1508 Garces Hwy Ste 1
Delano, CA 93215-3607

Mailing address

1508 Garces Hwy Ste 1
Delano, CA 93215-3607
Phone (661) 725-4780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230308000659 CA Practitioner - Clinical Social Worker 7618340928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1508 Garces Hwy
Suite 1
Delano, CA 93215-3687
Phone (661) 725-2788

425 Del Sol Pkwy
Delano, CA 93215-3442
Phone (661) 720-4011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW109314CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Mar 11, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Mar 11, 2024 Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

1508 Garces Hwy
Ste 1
Delano, CA 93215
Phone (661) 725-4780

Interoperability endpoints

  • Direct secure messaging: fernando.hernandez.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1053955286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 GARCES HWY STE 1",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153607",
            "telephone_number": "661-725-4780",
            "fax_number": "661-725-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 GARCES HWY STE 1",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153607",
            "telephone_number": "661-725-4780",
            "fax_number": "661-725-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "FERNANDO",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-31",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW109314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

Verify at the official NPI Registry.