Jorge Leonel Hernandez III

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

Y4358168 Issued in CA

Practice address

6032 Village Rd
Lakewood, CA 90713-3129

Phone

(951) 400-2044

NPI assigned

Apr 29, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1295581437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19076 STROH AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813827",
            "telephone_number": "951-400-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 VILLAGE RD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907133129",
            "telephone_number": "951-400-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JORGE",
        "middle_name": "LEONEL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "Y4358168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Hendricks
• Wilma Henriquez
• Milagrosa Maria Hernandez-Cabanban, DDS
• Elizabeth Hernandez
• Jocelyn Hernandez
• Mireya Hernandez, D.C.
• Rosa Nellty Hernandez, MSOD
• Andrea Kimi Hibson
• Olivia Marie Hibson
• Leon D Hines Jr., PHARMD

• Behavior Technician in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.