Jairo Oscar Hernandez Camacho

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-NZJUTD Issued in CA

Practice address

6160 Mission Gorge Rd Ste 100
San Diego, CA 92120-3425

Phone

(619) 481-3790

Fax

(619) 481-3797

NPI assigned

Feb 11, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Pathways Community Services LLC

  dba Kickstart

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1104247659
  NPD (past)
• Pathways Community Services LLC

  dba CYS Clarvida - Tustin

  • Community/Behavioral Health Agency
  • Tustin, CA
  • NPI 1396436077
  NPD (past)

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1588516561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 MISSION GORGE RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203425",
            "telephone_number": "619-481-3790",
            "fax_number": "619-481-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 MISSION GORGE RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203425",
            "telephone_number": "619-481-3790",
            "fax_number": "619-481-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ CAMACHO",
        "first_name": "JAIRO",
        "middle_name": "OSCAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-NZJUTD",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Hermosillo
• Juan Hermosillo
• Karina Alejandra Hermosillo
• Melanie Ein Hermosura
• Cynthia Hernandez Calderon
• Luis Alberto Hernandez Flores
• Narelle Hernandez Gamez
• Jacqueline Hernandez Gomez
• Iridian Hernandez Hernandez
• Marina Hernandez Hernandez

• Peer Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.