Citlali Hernandez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5425 Sierra Vista Ave
Riverside, CA 92505-3113

Phone

(951) 299-7645

Fax

(951) 299-7510

NPI assigned

May 18, 2022

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Harvest Safe Haven for Boys

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Riverside, CA
  • NPI 1174132807
  NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1376280560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 LA SIERRA AVE # 104-242",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035271",
            "telephone_number": "951-299-7645",
            "fax_number": "951-299-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 SIERRA VISTA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053113",
            "telephone_number": "951-299-7645",
            "fax_number": "951-299-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CITLALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46-1597137",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Hernandez
• Christina Hernandez, LCSW
• Christine Hernandez
• Christine Hernandez, LCSW
• Christopher John Hernandez
• Colleen Hernandez, LMFT
• Corina Hernandez, PSYCH TECH
• Darlene Hernandez
• Deborah Marie Hernandez
• Dessirea Hernandez

• Case Manager/Care Coordinator in Riverside, CA
• Providers in Riverside, 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 May 19, 2022; 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.