Active NPI
Alma Elizabeth Guadarrama Hernandez
- Clinical Social Worker
- Coachella, CA
National Provider Identifier
1326489121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW102281
- Practice address
- 49211 Grapefruit Blvd Ste 5&6
Coachella, CA 92236 - Phone
- (760) 541-8520
- NPI assigned
- Jul 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | LCSW102281 | CA | Primary |
Addresses
Primary practice location
49211 Grapefruit Blvd Ste 5&6
Coachella, CA 92236
Mailing address
PO Box 830
Indio, CA 92202-0830
Phone (760) 899-0932
Other practice location 1
801 E Tahquitz Canyon Way
Suite 202
Palm Springs, CA 92262-6763
Phone (760) 325-4088
Other names 1
- Miss Alma Elizabeth Hernandez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW102281 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service of the Desert | Past | Accepting new patients | |
| Oasis Behavioral Health, Inc. | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Palm Springs, CA
- NPI 1598758179
-
- Community/Behavioral Health Agency
- Banning, CA
- NPI 1093388480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1326489121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 830",
"city": "INDIO",
"state": "CA",
"postal_code": "922020830",
"telephone_number": "760-899-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49211 GRAPEFRUIT BLVD STE 5&6",
"city": "COACHELLA",
"state": "CA",
"postal_code": "92236",
"telephone_number": "760-541-8520"
}
],
"practiceLocations": [
{
"address_1": "801 E Tahquitz Canyon Way",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "CA",
"postal_code": "922626763",
"country_code": "US",
"telephone_number": "760-325-4088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUADARRAMA HERNANDEZ",
"first_name": "ALMA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW102281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALMA",
"last_name": "HERNANDEZ",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coachella, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.