Active NPI
Jazmin Hernandez
- Clinical Social Worker
- Moreno Valley, CA
National Provider Identifier
1750921219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 140167
- Practice address
- 25634 Alessandro Blvd
Moreno Valley, CA 92553-4916 - Phone
- (951) 571-7500
- NPI assigned
- Jan 13, 2020
- Last updated
- Sep 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 140167 | CA | Primary |
Addresses
Primary practice location
25634 Alessandro Blvd
Moreno Valley, CA 92553-4916
Mailing address
25634 Alessandro Blvd
Moreno Valley, CA 92553-4916
Phone (951) 571-7500
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Behavior Services, Inc | Behavior Technician | Current | Accepting new patients |
Locations
1600 N Acacia Ave
Fullerton, CA 92831
Phone (714) 773-0077
Organizations & group practices 1
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": "1578873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1750921219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25634 ALESSANDRO BLVD",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925534916",
"telephone_number": "951-571-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25634 ALESSANDRO BLVD",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925534916",
"telephone_number": "951-571-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "JAZMIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-13",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "140167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.