Active NPI
Elizabeth Hernandez-Polanco
- Behavior Technician
- Oakland, CA
National Provider Identifier
1902754773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 8945 Golf Links Rd
Oakland, CA 94605-4124 - Phone
- (510) 317-1444
- NPI assigned
- Mar 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Primary | |
| Day Training/Habilitation Specialist | 373H00000X | CA |
Addresses
Primary practice location
8945 Golf Links Rd
Oakland, CA 94605-4124
Mailing address
5360 Stonehurst Dr
Martinez, CA 94553-9721
Other practice location 1
5360 Stonehurst Dr
Martinez, CA 94553-9721
Phone (510) 501-2385
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Behavior LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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": "1773792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1902754773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5360 STONEHURST DR",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945539721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8945 GOLF LINKS RD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946054124",
"telephone_number": "510-317-1444"
}
],
"practiceLocations": [
{
"address_1": "5360 Stonehurst Dr",
"address_purpose": "LOCATION",
"city": "Martinez",
"state": "CA",
"postal_code": "945539721",
"country_code": "US",
"telephone_number": "510-501-2385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ-POLANCO",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-18",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.