Individual provider · Type 1 NPI

Lupita Gomez-Hernandez

Student in an Organized Health Care Education/Training Program · Berkeley, CA

NPI number 1790676245 Active

Practice location

3200 Adeline St
Berkeley, CA 94703-2407

Call (510) 601-0203 Map

Mailing address

17427 Via Melina
San Lorenzo, CA 94580-2644

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Recreation Therapist 225800000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790676245

Lupita Gomez-Hernandez's National Provider Identifier is 1790676245, issued on Jul 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berkeley, CA. The record was last updated on Aug 11, 2026.