JOSE R HERNANDEZ
NPI 1164799003
Social Worker in Lake Elsinore, CA

Q: What is Jose Hernandez's NPI number?

The NPI number for Jose Hernandez is 1164799003. It was assigned to this individual provider in the NPPES registry on November 21, 2011.

Q: What is Jose Hernandez's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jose Hernandez was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 21, 2011

31772 CASINO DR STE B, LAKE ELSINORE, CA 92530(951) 457-3175 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jose R Hernandez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE R HERNANDEZ (NPI 1164799003) is an individual social worker in Lake Elsinore, California, licensed in California (115114) and active in the NPI registry since November 2011. He maintains a secondary practice location in Moreno Valley.

NPPES Registry Identity

NPI1164799003

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameJOSE R HERNANDEZ

Location Address31772 CASINO DR STE BLake Elsinore, CA 92530-4502

Mailing Address31772 Casino Dr Ste BLake Elsinore, CA 92530-4502 · (951) 457-3175

Phone(951) 457-3175

Sole ProprietorYes

Enumeration DateNovember 21, 2011

Last NPPES UpdateJuly 9, 2025

NPPES CertifiedJuly 9, 2025

✔ NPI 1164799003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · 115114

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

31772 CASINO DR STE B, Lake Elsinore, CA 92530

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Secondary Practice Location 1

Location 121250 Box Springs Rd Ste 106Moreno Valley, CA 92557-8707 · Phone (951) 369-8036

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAILEY HYATT

Peer Specialist