Julian Jose Hernandez

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · King City, CA

NPI 1770435968 · NPPES record last updated Feb 11, 2026

Key facts

NPI
1770435968
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
RT1422581125 (CA)
Practice address
641 Broadway St
King City, CA 93930-3231
Phone
(831) 525-8101
NPI assigned
Feb 11, 2026
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RT1422581125CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Street Centers Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X RT1422581125 CA Yes

Addresses

Primary practice location

641 Broadway St
King City, CA 93930-3231

Mailing address

641 Broadway St
King City, CA 93930-3231
Phone (831) 525-8101

Other providers in King City, CA

All providers in King City, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.