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Jerome Hernandez, n/a

Counselor, Mental Health in San Diego, CA. Individual provider (NPI-1).

NPI number1003134099
StatusActive
Last updated in NPPESMay 14, 2010

Details

NPI
1003134099
Entity type
Individual (NPI-1)
Name
Jerome Hernandez
Credential
n/a
Sex
Male
Sole proprietor
No
Enumeration date
May 14, 2010
Last updated
May 14, 2010

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

6160 Mission Gorge Rd
San Diego, CA 92120-3410

Phone 619-281-3706 · Fax 619-281-3714

Mailing address

6160 Mission Gorge Rd
San Diego, CA 92120-3410

Phone 619-281-3706 · Fax 619-281-3714

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Mental Health Counselor providers in San Diego, CA

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