Individual provider Active NPI

Karla Fabiola Hernandez, LCSW

  • Clinical Social Worker
  • Pasadena, CA
National Provider Identifier
1841379575
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26486 Issued in CA
Practice address
1200 E California Blvd
Mail Code 5-71
Pasadena, CA 91125-0001
Phone
(626) 395-8361
Fax
(626) 792-9917
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2015

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 26486 CA Primary

Addresses

Primary practice location

1200 E California Blvd
Mail Code 5-71
Pasadena, CA 91125-0001

Mailing address

1200 E California Blvd
Mail Code 5-71
Pasadena, CA 91125-0001
Phone (626) 395-8361

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
26486CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1841379575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E CALIFORNIA BLVD",
            "address_2": "MAIL CODE 5-71",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911250001",
            "telephone_number": "626-395-8361",
            "fax_number": "626-792-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E CALIFORNIA BLVD",
            "address_2": "MAIL CODE 5-71",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911250001",
            "telephone_number": "626-395-8361",
            "fax_number": "626-792-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "KARLA",
        "middle_name": "FABIOLA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.