Individual provider Active NPI

Daylisi Talavera-Hernandez, LCSW

  • Clinical Social Worker
  • Yucaipa, CA
National Provider Identifier
1952910697
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
137827 Issued in CA
Practice address
34324 Yucaipa Blvd
Yucaipa, CA 92399-2496
Phone
(909) 790-1300
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 137827 CA Primary

Addresses

Primary practice location

34324 Yucaipa Blvd
Yucaipa, CA 92399-2496

Mailing address

25910 Acero Ste 160
Mission Viejo, CA 92691-2777

Other practice location 1

1515 7th St
Elko, NV 89801-2859
Phone (775) 299-3738

Other names 1

  • Daylisi Talavera Former name

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
137827CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Children'S Society, Inc PastSince Jul 31, 2022 Accepting new patients
South Coast Children'S Society, Inc PastSince Jul 31, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1952910697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 160",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34324 YUCAIPA BLVD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992496",
            "telephone_number": "909-790-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 7th St",
            "address_purpose": "LOCATION",
            "city": "Elko",
            "state": "NV",
            "postal_code": "898012859",
            "country_code": "US",
            "telephone_number": "775-299-3738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALAVERA-HERNANDEZ",
        "first_name": "DAYLISI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "137827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAYLISI",
            "last_name": "TALAVERA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.