Individual provider Active NPI

Gertrudes Aquino Hernandez, PHD

  • Clinical Psychologist
  • Walnut Creek, CA
National Provider Identifier
1821259953
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23706 Issued in CA
Practice address
925 Ygnacio Valley Rd Ste 102a
Walnut Creek, CA 94596-3837
Phone
(510) 301-8655
NPI assigned
Jun 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY23706 CA Primary

Addresses

Primary practice location

925 Ygnacio Valley Rd Ste 102a
Walnut Creek, CA 94596-3837

Mailing address

1340 Las Juntas Way Apt D
Walnut Creek, CA 94597-2069
Phone (510) 301-8655

Other names 1

  • Vida Gertrudes Aquino Hernandez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111012000144 CA Practitioner - Clinical Psychologist 0648442814 Reassigns benefits to 1 organization
Practice locations: Walnut Creek, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2815 Mitchell Dr
Suite 119
Walnut Creek, CA 94598-1622
Phone (510) 301-8655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
23706CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Neuro Psychological Services, Inc. Clinical CurrentSince Aug 1, 2021 Accepting new patients
Sud Specialty Group - Ca CurrentSince Aug 1, 2025 Accepting new patients

Locations

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

2815 Mitchell Dr
Ste 119
Walnut Creek, CA 94598
Phone (510) 301-8655

2815 Mitchell Dr
Ste 128
Walnut Creek, CA 94598
Phone (510) 301-8655

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1821259953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 LAS JUNTAS WAY APT D",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972069",
            "telephone_number": "510-301-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 YGNACIO VALLEY RD STE 102A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963837",
            "telephone_number": "510-301-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "GERTRUDES",
        "middle_name": "AQUINO",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIDA GERTRUDES",
            "last_name": "HERNANDEZ",
            "middle_name": "AQUINO",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.