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NPI Code Detail

MEDICARE: ZACHERY HERNANDEZ RADT I

MEDICARE: ZACHERY HERNANDEZ RADT I
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCA

General Provider Information

NPI Number : 1912861022
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHERY HERNANDEZ RADT I
Provider Business Mailing Address
First Line : 1 APPIAN WAY
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-5554
Country : US
Telephone Number : 650-787-4393
Fax Number :
Provider Business Practice Location Address
First Line : 2560 PULGAS AVE
Second Line :
City : EAST PALO ALTO
State : CA
Zip : 94303-1323
Country : US
Telephone Number : 650-325-6466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ ZACHERY HERNANDEZ RADT I” Practice Location

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