Individual provider Active NPI

Griselda Hernandez, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1891377826
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95028431 Issued in CA
Practice address
1230 Saint Anne PL
Santa Ana, CA 92707-2115
Phone
(714) 552-5593
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95160424 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95028431 CA Primary

Addresses

Primary practice location

1230 Saint Anne PL
Santa Ana, CA 92707-2115

Mailing address

1230 Saint Anne PL
Santa Ana, CA 92707-2115
Phone (714) 743-4206

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240809004023 CA Practitioner - Nurse Practitioner 6002354958 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chris E Esguerra MD PCGroup PAC ID 8426456021, 10 clinicians

Practice addresses (Care Compare)

5750 Traffic Way
Suite a
Atascadero, CA 93422-7205
Phone (855) 378-3361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95160424CAMDPsychiatric/Mental Health Registered Nurse
95028431CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Medical Group, a Professional Medical Corporation Psychiatric/Mental Health CurrentSince Jul 2, 2024 Accepting new patients
Coast Medical, PC Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Chris E Esguerra MD PC CurrentSince Dec 20, 2024 Accepting new patients
Mental Health and Nursing PC Psychiatric/Mental Health CurrentSince Jul 2, 2024 Accepting new patients

Locations

532 N Magnolia Ave
Anaheim, CA 92801
Phone (408) 475-4446

421 N Brookhurst St
Ste 119
Anaheim, CA 92801
Phone (714) 253-6570

1720 W Ball Rd
Ste 4C
Anaheim, CA 92804
Phone (714) 683-1472

5750 Traffic Way
Ste A
Atascadero, CA 93422
Phone (650) 678-5243

4276 Katella Ave
Los Alamitos, CA 90720

Organizations & group practices 4

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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1891377826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 SAINT ANNE PL",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927072115",
            "telephone_number": "714-743-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 SAINT ANNE PL",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927072115",
            "telephone_number": "714-552-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "GRISELDA",
        "name_prefix": "Miss",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95160424",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.