Individual provider Active NPI

Yadira Hernandez

  • Community Health Worker
  • Ceres, CA
National Provider Identifier
1669109047
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
3212 Uranus Dr
Ceres, CA 95307-3010
Phone
(209) 538-4038
NPI assigned
Aug 4, 2022
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

3212 Uranus Dr
Ceres, CA 95307-3010

Mailing address

2935 4TH St
Ceres, CA 95307-3222

Other practice location 1

2528 Leslie Ln
Ceres, CA 95307-2326
Phone (209) 538-7331

Other practice location 2

3607 Blaker Rd
Ceres, CA 95307-9503
Phone (209) 531-1783

Other practice location 3

1708 Banyan Ct
Ceres, CA 95307-1907
Phone (209) 538-1888

Other practice location 4

2935 4th St
Ceres, CA 95307-3222
Phone (209) 531-0888

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
Elite Family Systems CurrentSince Aug 1, 2022 Accepting new patients
Elite Family Systems CurrentSince Mar 31, 2024 Accepting new patients
Elite Family Systems PastSince Apr 11, 2021 Accepting new patients
Elite Family Systems PastSince Apr 11, 2021 Accepting new patients
Elite Family Systems - Blaker Home PastSince Apr 11, 2021 Accepting new patients

Locations

2935 4th St
Ceres, CA 95307
Phone (209) 531-0888

Organizations & group practices 5

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1669109047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 4TH ST",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 URANUS DR",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073010",
            "telephone_number": "209-538-4038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2528 Leslie Ln",
            "address_purpose": "LOCATION",
            "city": "Ceres",
            "state": "CA",
            "postal_code": "953072326",
            "country_code": "US",
            "telephone_number": "209-538-7331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3607 Blaker Rd",
            "address_purpose": "LOCATION",
            "city": "Ceres",
            "state": "CA",
            "postal_code": "953079503",
            "country_code": "US",
            "telephone_number": "209-531-1783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1708 Banyan Ct",
            "address_purpose": "LOCATION",
            "city": "Ceres",
            "state": "CA",
            "postal_code": "953071907",
            "country_code": "US",
            "telephone_number": "209-538-1888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2935 4th St",
            "address_purpose": "LOCATION",
            "city": "Ceres",
            "state": "CA",
            "postal_code": "953073222",
            "country_code": "US",
            "telephone_number": "209-531-0888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "YADIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

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