Hetty Molina

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1410 Marshall St
Redwood City, CA 94063-2503

Phone

(650) 578-8691

NPI assigned

Jan 31, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Caminar

  dba Olivos

  • Community/Behavioral Health Agency
  • Redwood City, CA
  • NPI 1992252829
  NPD (past)

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1114482445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 MARSHALL ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632503",
            "telephone_number": "650-578-8691",
            "fax_number": "650-393-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 MARSHALL ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632503",
            "telephone_number": "650-578-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "HETTY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farhad Mofidi, MSW
• Andrew M Moiseff
• Mojdeh Talebian, M.D., Inc.
• Keisha Andrea Molden
• Gabriel Enrique Molina, MD
• Kimberly Ruby Molina
• Marc Christian Callejo Molina
• Frederic H Moll, M.D.
• Alyssa Bianconi Momtaheni, LMFT 139124
• Abigail Monberg, LCSW

• Community Health Worker in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.