Paulina Marian Hermosilla

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

658 E Brier Dr Ste 350
San Bernardino, CA 92408-2875

Phone

(909) 470-3184

NPI assigned

Mar 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Paulina Marian Enerio Coulter Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1245080472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 E BRIER DR STE 350",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 E BRIER DR STE 350",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082875",
            "telephone_number": "909-470-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMOSILLA",
        "first_name": "PAULINA",
        "middle_name": "MARIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINA",
            "last_name": "COULTER",
            "middle_name": "MARIAN ENERIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Herbst
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• Herm Med Trans Inc
• Carmen Alejandra Hernandez Espinoza
• Ketzia Hernandez Solis
• Brenda Hernandez-Montes
• Amy Hernandez-Valero, COTA
• Adolfo Manuel Hernandez, LMFT

• Case Manager/Care Coordinator in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.