Active NPI
Ana B Hernandez
- Social Worker
- Santa Ana, CA
National Provider Identifier
1972735579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 22644
- Practice address
- 405 W. 5TH Street
Santa Ana, CA 92701 - Phone
- (714) 655-6635
- NPI assigned
- Aug 14, 2009
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 22644 | CA | Primary |
| Clinical Social Worker | 1041C0700X | 28613 | CA |
Addresses
Primary practice location
405 W. 5TH Street
Santa Ana, CA 92701
Mailing address
PO Box 4315
Costa Mesa, CA 92628-4315
Phone (714) 655-6635
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22644 | CA | MD | Chiropractor |
| 28613 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1972735579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4315",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926284315",
"telephone_number": "714-655-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W. 5TH STREET",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92701",
"telephone_number": "714-655-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ANA",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-14",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "22644",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "28613",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.