Individual provider Active NPI

Giovan Hernandez

  • Case Manager/Care Coordinator
  • Chula Vista, CA
National Provider Identifier
1932514924
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1196 3Rd Ave Ste C
Chula Vista, CA 91911-3131
Phone
(619) 427-4661
NPI assigned
Jun 27, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

1196 3Rd Ave Ste C
Chula Vista, CA 91911-3131

Mailing address

1196 3Rd Ave Ste C
Chula Vista, CA 91911-3131
Phone (619) 427-4661

Other practice location 1

1679 E Main St Ste 102
El Cajon, CA 92021-5212
Phone (619) 441-1907

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

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932514924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1196 3RD AVE STE C",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113131",
            "telephone_number": "619-427-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1196 3RD AVE STE C",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113131",
            "telephone_number": "619-427-4661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1679 E Main St Ste 102",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920215212",
            "country_code": "US",
            "telephone_number": "619-441-1907",
            "fax_number": "619-441-1908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "GIOVAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.