Kathy Ann Hernandez

Primary specialty

Social WorkerTaxonomy code 104100000X

License

99607 Issued in CA

Practice address

720 E Gilbert St
San Bernardino, CA 92415-3248

Phone

(909) 501-0981

NPI assigned

Jul 11, 2012

Last updated

Feb 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1699030072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 N PAMPAS AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763647",
            "telephone_number": "909-440-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E GILBERT ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924153248",
            "telephone_number": "909-501-0981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "572 N Arrowhead Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011251",
            "country_code": "US",
            "telephone_number": "909-266-2700",
            "fax_number": "909-266-2790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 S Sunwest Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083248",
            "country_code": "US",
            "telephone_number": "909-252-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "KATHY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "99607",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "99607",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisell A Hernandez
• Heather Lynn Hernandez, MSW
• Israel Hernandez
• Jeannet Hernandez, M.S.
• Julia Hernandez
• Kristy Lynn Hernandez
• Laura Ann Hernandez, MSW
• Liliana Victoria Hernandez
• Lissete Hernandez
• Lupe Hernandez

• Social Worker in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.