Angie Elizabeth Hernandez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

214 Valencia Dr
Fairfield, CA 94533-2849

Phone

(707) 438-0492

Fax

(707) 816-0291

NPI assigned

Mar 23, 2007

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

Other identifiers 1

Other names 1

• Ms. Angela Elizabeth 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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689791600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 VALENCIA DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945332849",
            "telephone_number": "707-438-0492",
            "fax_number": "707-816-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 VALENCIA DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945332849",
            "telephone_number": "707-438-0492",
            "fax_number": "707-816-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANGIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELOR",
            "identifier": "101YM0800X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HERNANDEZ",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lenneris Betzaida Hernandez Ploche
• Carlos Fabricio Hernandez-Gonzalez
• Ana M Hernandez-Soto, ASW
• Chasity Hernandez-Swartzel, LCSW
• Agkeeleh Hernandez
• Anita Maria Hernandez
• Edgar Hernandez, MSW, MPH
• Joelle Raylene Hernandez
• Katelynn Hernandez
• Leonel Alejandro Hernandez

• Mental Health Counselor in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.