Jose Andres Hernandez-Galvan

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

246 State St
Salem, OR 97301-3444

Phone

(458) 201-2740

NPI assigned

Jan 6, 2022

Last updated

Jan 6, 2022By the provider in NPPES

Sex

Male

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

Other names 1

• Andres De la Rosa-Hernandez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1568123073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013444",
            "telephone_number": "458-201-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-GALVAN",
        "first_name": "JOSE",
        "middle_name": "ANDRES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHA - TRADITIONAL HEALTH WORKER",
            "identifier": "THW000104655",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDRES",
            "last_name": "DE LA ROSA-HERNANDEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Weston Willard Heringer Jr., DMD
• Rita Herlong, PMHNP
• Karime Hernandez Marrufo
• Jasmine Hernandez Pena
• Yesenia Hernandez- Zendejas
• Amy Marie Hernandez, PA-C, MS
• Angela Michelle Hernandez
• Doris Hernandez
• Jesus Hernandez
• Jose J Hernandez

• Peer Specialist in Salem, OR
• Providers in Salem, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.