Look up the most recent NPI and PECOS records

Adriana Hermosillo

Marriage & Family Therapist

Behavioral Health & Social Service Providers

12625 Hesperia Rd, Victorville, CA 92395-7720

PECOS Enrollment

Based on the most recent information from CMS, provider Adriana Hermosillo is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1053701573
Provider Type
Individual
Full Name
Hermosillo, Adriana
Credential
M.S., LMFT

Gender
Female
Sole Proprietor
No
Enumeration Date
2/4/2015
Last Updated
7/19/2021

Contact Information

Practice Location

12625 Hesperia Rd, Victorville, CA 92395-7720

(760) 995-8300

Unlisted Fax

Mailing Location

3031 S Vermont Ave, Los Angeles, CA 90007-3033

(323) 373-2400

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 117313 California
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License Unlisted Issuer

Adriana Hermosillo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Thomas-Torres, Tiffany Camille

Amick, Crystal Amber Lynn

Prendergast, Patricia J

Prickett, Patricia Elvera

Potter, Curlena

Bray, Craig

Morgan, Maria E

Winderweedle, Patsy Jane

Theno, Lori Rose

Hemphill, Jennifer N