Individual provider Active NPI

Dolores Alicia Hernandez Perez II, RADT1

  • Rehabilitation Practitioner
  • San Diego, CA
National Provider Identifier
1548802192
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
8755 Aero Dr Ste 230
San Diego, CA 92123-1750
Phone
(858) 256-2180
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

8755 Aero Dr Ste 230
San Diego, CA 92123-1750

Mailing address

8755 Aero Dr Ste 230
San Diego, CA 92123-1750
Phone (858) 256-2180

Other practice location 1

2049 Skyline Dr
Lemon Grove, CA 91945-4221
Phone (619) 465-7303

Other names 1

  • Mrs. Dolores Alicia Herenandez Perez II Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Alternatives, Incorporated PastSince Apr 20, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1548802192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8755 AERO DR STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231750",
            "telephone_number": "858-256-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8755 AERO DR STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231750",
            "telephone_number": "858-256-2180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2049 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Lemon Grove",
            "state": "CA",
            "postal_code": "919454221",
            "country_code": "US",
            "telephone_number": "619-465-7303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ PEREZ",
        "first_name": "DOLORES",
        "middle_name": "ALICIA",
        "name_suffix": "II",
        "credential": "RADT1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOLORES",
            "last_name": "HERENANDEZ PEREZ",
            "middle_name": "ALICIA",
            "prefix": "MRS.",
            "suffix": "II",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.