Genisis Corazon Hernandez

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

251 Llewellyn Ave
Campbell, CA 95008-1940

Phone

(408) 379-3790

NPI assigned

Jan 4, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Edgewood Center for Children and Families

  • Community/Behavioral Health Agency
  • San Mateo, CA
  • NPI 1093920647
  NPD

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

{
    "created_epoch": "1578096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1508405762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD STE 310",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041587",
            "telephone_number": "650-832-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LLEWELLYN AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081940",
            "telephone_number": "408-379-3790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 E Gish Rd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951124706",
            "country_code": "US",
            "telephone_number": "408-876-4284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1510 Fashion Island Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944041587",
            "country_code": "US",
            "telephone_number": "650-832-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "GENISIS",
        "middle_name": "CORAZON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-04",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lidia Mariela Hernandez Lazaro
• Dasai Araceli Hernandez Loyola
• Valeria Hernandez Hernandez Romero
• Ana Paola Hernandez
• Cecy Hernandez
• Tess Hernandez, RN
• Nazly Gissel Herrera Tamayo
• Mauro Herrera Jr.
• Miguel Herrera
• Helen Hersey

• Rehabilitation Practitioner in Campbell, CA
• Providers in Campbell, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.