ADRIAN HERNANDEZ NPI 1841583317

NPI Information

NPI: 1841583317
Provider Name: ADRIAN HERNANDEZ
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5409 CHIQUITA LN
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 327-1192
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Adrian Hernandez is an addiction (substance use disorder) counselor in San Bernardino, CA. Adrian Hernandez NPI is 1841583317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5409 CHIQUITA LN
SAN BERNARDINO, CA
ZIP 92404-871
Phone: (909) 327-1192

The enumeration date for this NPI number is 5/17/2011 and was last updated on 5/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	H0504110952	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	HO504110952	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95-2843788	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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