Active NPI
Michael Angelo Hernandez, LMSW, ASW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1992568034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121694
- Practice address
- 404 Euclid Ave Ste 351
San Diego, CA 92114-2223 - Phone
- (833) 503-5910
- Fax
- (619) 205-6323
- NPI assigned
- Feb 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 121694 | CA | Primary |
| Social Worker | 104100000X | 109616 | TX | |
| Mental Health Counselor | 101YM0800X | CA |
Addresses
Primary practice location
404 Euclid Ave Ste 351
San Diego, CA 92114-2223
Mailing address
404 Euclid Ave Ste 351
San Diego, CA 92114-2223
Phone (833) 503-5910
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 |
|---|---|---|---|
| 121694 | CA | MD | Clinical Social Worker |
| 109616 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Past | Accepting new patients | |
| Community Research Foundation Inc | Past | Accepting new patients |
Interoperability endpoints
- michael.hernandez@489656322949124.direct.elationemr.com
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1497978910
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1871365684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1992568034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 EUCLID AVE STE 351",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921142223",
"telephone_number": "833-503-5910",
"fax_number": "619-205-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 EUCLID AVE STE 351",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921142223",
"telephone_number": "833-503-5910",
"fax_number": "619-205-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MICHAEL",
"middle_name": "ANGELO",
"name_prefix": "Mr.",
"credential": "LMSW, ASW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-01",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "121694",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "109616",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.