Carla Violeta Hernandez

Primary specialty

Social WorkerTaxonomy code 104100000X

License

85675 Issued in CA

Practice address

180 Via Verde Ste 100
San Dimas, CA 91773-3993

Phone

(909) 599-1227

NPI assigned

Sep 20, 2018

Last updated

May 17, 2024By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD
• Tujunga Medical Group

  • Pediatrics Physician
  • Tujunga, CA
  • NPI 1699816421
  NPD (past)
• Usc Verdugo Hills Hospital

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1568069581
  NPD (past)

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1275017782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 VIA VERDE STE 100",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733993",
            "telephone_number": "909-599-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 VIA VERDE STE 100",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733993",
            "telephone_number": "909-599-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CARLA",
        "middle_name": "VIOLETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "85675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helping Hand Psychological Services PC
• Amin Hemmasitaherabadi, MD
• Bruce M Hensel, MD
• Joann Henwood, O.D.
• Heritage Group Homes Inc.
• David Alejandro Hernandez
• Jessica Hernandez
• Katelin Hernandez
• Lorraine Hernandez
• Nicole Hernandez

• Social Worker in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.