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ROSA A HERNANDEZ
NPI 1619451333
Social Worker - Clinical in Gardena, CA

Active since September 19, 2018PECOS Enrolled
14112 S KINGSLEY DR, GARDENA, CA 90249(310) 217-7312 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2022, Mar 31, 2021, Dec 6, 2018 and 2 more (5 updates tracked since 2018).

About Rosa A Hernandez NPPES

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

ROSA A HERNANDEZ (NPI 1619451333) is an individual clinical provider in Gardena, California, licensed in California (122256) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619451333
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameROSA A HERNANDEZ
Location Address14112 S KINGSLEY DRGardena, CA 90249-3018
Mailing AddressPo Box 44683Los Angeles, CA 90044-0683 · (323) 617-1772
Phone(310) 217-7312
Sole ProprietorNo
Enumeration DateSeptember 19, 2018
Last NPPES UpdateOctober 22, 20245 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1619451333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 122256✔ Licensed in CA · 83036
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 83036 (CA)
14112 S KINGSLEY DR, Gardena, CA 90249
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Secondary Practice Locations 2

Location 18220 S San Pedro StLos Angeles, CA 90003-3030 · Phone (323) 570-0445
Location 27285 Quill DrDowney, CA 90242 · Phone (562) 940-6077

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosa A Hernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Rosa Hernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Los Angeles County Department Of Mental Health
0.9 mi
Mental Health (Including Community Mental Health Center)
1045 W REDONDO BEACH BLVD FL 3
Gardena, CA 90247
  • Reassigned Medicare billing, California enrollment
  • 533 clinicians in this Medicare group
NPI 1760698112 (310) 970-5000
Grow Healthcare Group PC
311 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Sud Specialty Group - Ca
317 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

COASTAL ASIAN PACIFIC MENTAL HEALTH CENTER
Psychiatric Hospital
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (310) 217-7313
DR. NAM JIN CHOI
Rehabilitation Practitioner
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (213) 760-7061
SHERRY WANG
Social Worker (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (310) 217-7300
DR. JASON HUANG PHD
Psychologist (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (310) 217-7312
HANIYA SALEEM SYEDA
Social Worker (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (310) 217-7312
DR. ANDY CHUNG-WAI YING PSY.D.
Psychologist (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (310) 217-7312
THUY TRAN PHAM LCSW
Social Worker (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (310) 217-7312
JOSEPHINA RODRIGUEZ ASW
Social Worker (Clinical)
14112 S KINGSLEY DR
GARDENA, CA 90249
Los Angeles County (310) 533-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosa Hernandez's NPI number?

The NPI number for Rosa Hernandez is 1619451333. It was assigned to this individual provider in the NPPES registry on September 19, 2018.

Where is Rosa Hernandez located?

Rosa Hernandez practices at 14112 S Kingsley Dr, Gardena, CA 90249. The listed phone number is (310) 217-7312.

What is Rosa Hernandez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Rosa Hernandez enrolled in Medicare?

Yes. Rosa Hernandez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rosa Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosa Hernandez reassigns Medicare benefits to 3 organizations: Los Angeles County Department Of Mental Health (Gardena, CA), Grow Healthcare Group PC (San Jose, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rosa Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rosa Hernandez was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.