Individual provider Active NPI

Jayr Hernandez-Aguayo

  • Social Worker
  • Fresno, CA
National Provider Identifier
1467113829
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW126570 Issued in CA
Practice address
2934 N Fresno St
Fresno, CA 93703-1123
Phone
(559) 374-3990
NPI assigned
Jan 6, 2022
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CA
Social Worker 104100000X ASW126570 CA Primary
Community Health Worker 172V00000X NU
Case Manager/Care Coordinator 171M00000X CA

Addresses

Primary practice location

2934 N Fresno St
Fresno, CA 93703-1123

Mailing address

2934 N Fresno St
Fresno, CA 93703-1123
Phone (559) 558-4051

Other practice location 1

1797 San Jose Ave
Clovis, CA 93611-3078
Phone (559) 298-0699

Other practice location 2

3239 E Tenaya Way
Fresno, CA 93710-5924
Phone (559) 298-0697

Other practice location 3

2361 Sample Ave
Clovis, CA 93611-5425
Phone (559) 323-4502

Other practice location 4

3433 W Shaw Ave Ste 102
Fresno, CA 93711-3229
Phone (559) 374-3990

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

LicenseStateTypeSpecialty
ASW126570CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
2ND Home Incorporated PastSince Jun 21, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1467113829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031123",
            "telephone_number": "559-558-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031123",
            "telephone_number": "559-374-3990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1797 San Jose Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936113078",
            "country_code": "US",
            "telephone_number": "559-298-0699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3239 E Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105924",
            "country_code": "US",
            "telephone_number": "559-298-0697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2361 Sample Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936115425",
            "country_code": "US",
            "telephone_number": "559-323-4502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3433 W Shaw Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113229",
            "country_code": "US",
            "telephone_number": "559-374-3990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ-AGUAYO",
        "first_name": "JAYR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-06",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW126570",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.