Individual provider Active NPI

Anissa Hernandez, ASW

  • Clinical Social Worker
  • West Covina, CA
National Provider Identifier
1831591205
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ACSW71440 Issued in CA
Practice address
1923 E Eckerman Ave
West Covina, CA 91791-1113
Phone
(626) 332-4600
NPI assigned
Sep 17, 2014
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ACSW71440 CA Primary

Addresses

Primary practice location

1923 E Eckerman Ave
West Covina, CA 91791-1113

Mailing address

158 Gentry St
Pomona, CA 91767-2100
Phone (909) 599-8222

Other practice location 1

17701 San Pasqual Valley Rd
Escondido, CA 92025-5301
Phone (760) 233-6000

Other practice location 2

265 San Jacinto River Rd Ste 107
Lake Elsinore, CA 92530-4400
Phone (951) 674-9243 ext. 6432

Other practice location 3

1738 S Tremont St
Oceanside, CA 92054-5309
Phone (760) 439-2800

Other practice location 4

158 Gentry St
Pomona, CA 91767-2100
Phone (909) 599-8222

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

State licenses

LicenseStateTypeSpecialty
ACSW71440CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Group Homes, Inc. PastSince Mar 16, 2021 Accepting new patients
Heritage Group Homes Inc. PastSince Mar 16, 2021 Accepting new patients

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, 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": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1831591205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 GENTRY ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672100",
            "telephone_number": "909-599-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 E ECKERMAN AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911113",
            "telephone_number": "626-332-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17701 San Pasqual Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920255301",
            "country_code": "US",
            "telephone_number": "760-233-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 San Jacinto River Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925304400",
            "country_code": "US",
            "telephone_number": "951-674-9243 x6432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1738 S Tremont St",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920545309",
            "country_code": "US",
            "telephone_number": "760-439-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Gentry St",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917672100",
            "country_code": "US",
            "telephone_number": "909-599-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANISSA",
        "name_prefix": "Mrs.",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ACSW71440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.