MEDICARE: JESSICA MARIE HERNANDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1679731475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MARIE HERNANDEZ

Provider Business Mailing Address
First Line	:	1395 BANCROFT AVE
Second Line	:
City	:	SAN LEANDRO
State	:	CA
Zip	:	94577-5103
Country	:	US
Telephone Number	:	510-357-0205
Fax Number	:	510-357-0688

Provider Business Practice Location Address
First Line	:	1395 BANCROFT AVE
Second Line	:
City	:	SAN LEANDRO
State	:	CA
Zip	:	94577-5103
Country	:	US
Telephone Number	:	510-357-0205
Fax Number	:	510-357-0688

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2008
Last Update Date	:	12/30/2021

Similar Medicare Providers

1942311170 — DR. RONALD J. FAIR D.D.S., M.P.H.
Practice Location Address:

1337 BANCROFT AVE
SAN LEANDRO, CA
94577-5103

Practice Phone: 510-351-2812
Practice Fax: 510-351-2832

1295933257 — DR. DEWEY TONG DDS
Practice Location Address:

1337 BANCROFT AVE
SAN LEANDRO, CA
94577-5103

Practice Phone: 510-351-2812
Practice Fax: 510-351-2832

1003093634 — CORNERSTONE COMMUNITY DEVELOPMENT CORPORATION
Practice Location Address:

1395 BANCROFT AVE
SAN LEANDRO, CA
94577-5103

Practice Phone: 510-357-0205
Practice Fax: 510-357-0688

1407025349 — SABRINA THOMAS
Practice Location Address:

1395 BANCROFT AVE
SAN LEANDRO, CA
94577-5103

Practice Phone: 510-357-0205
Practice Fax: 510-357-0688

1730358508 — JEANINE NICHOLAS
Practice Location Address:

1395 BANCROFT AVE
SAN LEANDRO, CA
94577-5103

Practice Phone: 510-357-0205
Practice Fax: 510-357-0688

1770741571 — VALERIE ALIPIO-JOCSON M.S.W.
Practice Location Address:

1395 BANCROFT AVE
SAN LEANDRO, CA
94577-5103

Practice Phone: 510-357-0205
Practice Fax: 510-357-0688

Directions to “ JESSICA MARIE HERNANDEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.