Trask Robert Hernandez, CADCII
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · San Bernardino, CA
NPI 1336799493 · NPPES record last updated May 20, 2026
Key facts
- NPI
- 1336799493
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- A054070319 (CA)
- Practice address
- 1874 Business Center Dr
San Bernardino, CA 92408-3457 - Phone
- (909) 386-0523
- NPI assigned
- Sep 19, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A054070319 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A054070319 | CA | Yes |
| Case Manager/Care Coordinator | 171M00000X | A054070319 | CA |
Addresses
Primary practice location
1874 Business Center Dr
San Bernardino, CA 92408-3457
Mailing address
1874 Business Center Dr
San Bernardino, CA 92408-3457
Phone (909) 386-0523
Other providers in San Bernardino, CA
- Maribel Hernandez
- Mirna Hernandez
- Richard J Hernandez
- Sara Dickes Hernandez
- Sherall Hernandez
- Valeria Hernandez
- Vanessa Hernandez
- Veronica Hernandez
- Yadira Hernandez
- Yesenia Hernandez
All providers in San Bernardino, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.