Active NPI
Yasmen Hernandez
- Behavior Technician
- Pacoima, CA
National Provider Identifier
1801510441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 12858 Sunburst St
Pacoima, CA 91331-3310 - Phone
- (747) 264-7543
- NPI assigned
- Sep 28, 2022
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Primary |
Addresses
Primary practice location
12858 Sunburst St
Pacoima, CA 91331-3310
Mailing address
12858 Sunburst Street
Pacoima, CA 91331
Phone (747) 264-7543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y9188877 | Other | CA | DRIVER LISCENCE |
Other names 1
- Yasmen Trejo-Aguilar
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1801510441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12858 SUNBURST STREET",
"city": "PACOIMA",
"state": "CA",
"postal_code": "91331",
"telephone_number": "747-264-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12858 SUNBURST ST",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913313310",
"telephone_number": "747-264-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "YASMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LISCENCE",
"identifier": "Y9188877",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YASMEN",
"last_name": "TREJO-AGUILAR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pacoima, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.