{"schema":"gale.providerFacts/1","npi":"1881183697","url":"https://www.gale.care/providers/ca/monrovia/karina-hernandez-1881183697","factsUrl":"https://www.gale.care/npi/1881183697.json","markdownUrl":"https://www.gale.care/npi/1881183697.md","generatedAt":"2026-10-24T14:55:50.783Z","exportId":"elig-ca-20261023T221350Z","factsHash":"2a73954bf1b2f3cd","factsChangedAt":"2026-10-22T00:00:00.000Z","index":{"robots":"index","basis":"index-all"},"summary":"Karina Hernandez (NPI 1881183697) is listed in the NPPES registry with the specialty Behavior Technician in Monrovia, CA, phone (626) 472-8722, as of the registry file of Jun 8, 2026.","identity":{"name":{"id":"name","value":"Karina Hernandez","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Karina Hernandez under NPI 1881183697, as of the registry file of Jun 8, 2026."},"credential":{"id":"credential","value":null,"status":"not-listed","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists no credential for Karina Hernandez (NPI 1881183697), as of the registry file of Jun 8, 2026."},"specialty":{"id":"specialty","value":"Behavior Technician","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Karina Hernandez (NPI 1881183697) under the specialty Behavior Technician, as of the registry file of Jun 8, 2026."},"registryStage":{"id":"registry-stage","value":"as-listed","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry does not list Karina Hernandez (NPI 1881183697) under a training program, as of the registry file of Jun 8, 2026."},"npiIssued":{"id":"npi-issued","value":2018,"status":"confirmed","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry shows NPI 1881183697 (Karina Hernandez) issued in 2018, as of the registry file of Jun 8, 2026."},"practiceType":{"id":"practice-type","value":"not-sole-proprietor","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Karina Hernandez (NPI 1881183697) as not a sole proprietor, as of the registry file of Jun 8, 2026."}},"location":{"city":{"id":"city","value":"Monrovia","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists a practice location in Monrovia for Karina Hernandez (NPI 1881183697), as of the registry file of Jun 8, 2026."},"state":{"id":"state","value":"CA","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists a practice location in CA for Karina Hernandez (NPI 1881183697), as of the registry file of Jun 8, 2026."}},"contact":{"phone":{"id":"phone","value":"(626) 472-8722","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists (626) 472-8722 as the practice phone for Karina Hernandez (NPI 1881183697), as of the registry file of Jun 8, 2026."}},"care":{"newPatients":{"id":"new-patients","value":true,"status":"confirmed","source":"cigna-fhir-directory","asOf":"2026-09-20","checkedAt":"2026-10-22T21:36:04Z","staleAfter":"2026-12-19","confidence":"high","gate":"G4","sentence":"Cigna's directory listed Karina Hernandez (NPI 1881183697) as taking new patients on Sep 20, 2026."}},"insurance":{"rows":[{"id":"ins-healthnet-marketplace","value":{"payer":"healthnet","payerLabel":"Ambetter from Health Net","line":"marketplace","products":["CA AP PPO","CA Comm Care HMO"],"accepts":true,"setting":null},"status":"confirmed","source":"healthnet-fhir-directory","asOf":"2026-10-10","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-08","confidence":"medium","gate":"G3","sentence":"Listed: Health Net's directory listed Karina Hernandez (NPI 1881183697) for Ambetter from Health Net individual and family plans on Oct 10, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-ccah-medi-cal","value":{"payer":"ccah","payerLabel":"Central California Alliance for Health","line":"medi-cal","products":["SubcontractorBH"],"accepts":true,"setting":"office"},"status":"confirmed","source":"dhcs-mcp-274-listing","asOf":"2026-04-21","checkedAt":"2026-10-22T14:42:02Z","staleAfter":"2026-08-19","confidence":"medium","gate":"G3","sentence":"Listed: DHCS Medi-Cal plan network listing listed Karina Hernandez (NPI 1881183697) for Central California Alliance for Health Medi-Cal plans on Apr 21, 2026. The state file is old; Gale found no newer one.","cautions":["stale"],"staleNote":"The state file is old; Gale found no newer one."},{"id":"ins-cigna-commercial","value":{"payer":"cigna","payerLabel":"Cigna / Evernorth","line":"commercial","products":["EBH NATIONAL STANDALONE NETFLEX NETWORK","EVERNORTH BEHAVIORAL HEALTH"],"accepts":true,"setting":"office"},"status":"confirmed","source":"cigna-fhir-directory","asOf":"2026-09-20","checkedAt":"2026-10-22T21:36:04Z","staleAfter":"2027-03-19","confidence":"high","gate":"G3","sentence":"Listed: Cigna's directory listed Karina Hernandez (NPI 1881183697) for Cigna / Evernorth commercial plans on Sep 20, 2026. Gale checked 51 listings in this directory by hand on Oct 22, 2026; 3 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-goldcoast-medi-cal","value":{"payer":"goldcoast","payerLabel":"Gold Coast Health Plan","line":"medi-cal","products":["GOLD COAST HEALTH PLAN-2026"],"accepts":true,"setting":null},"status":"confirmed","source":"goldcoast-fhir-directory","asOf":"2026-10-09","checkedAt":"2026-10-22T14:57:24Z","staleAfter":"2027-04-07","confidence":"high","gate":"G3","sentence":"Listed: Gold Coast Health Plan's directory listed Karina Hernandez (NPI 1881183697) for Gold Coast Health Plan Medi-Cal plans on Oct 9, 2026."},{"id":"ins-healthnet-commercial","value":{"payer":"healthnet","payerLabel":"Health Net","line":"commercial","products":["CA Blue and Gold HMO","CA Elect Open Access Large Group","CA Elect Open Access Small Group","CA ExcelCare Elect Open Access","CA ExcelCare HMO","CA ExcelCare Medicare COB","CA Large Group HMO","CA Latino Large Group HMO"],"accepts":true,"setting":null},"status":"confirmed","source":"healthnet-fhir-directory","asOf":"2026-10-17","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-15","confidence":"medium","gate":"G3","sentence":"Listed: Health Net's directory listed Karina Hernandez (NPI 1881183697) for Health Net commercial plans on Oct 17, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-healthnet-medi-cal","value":{"payer":"healthnet","payerLabel":"Health Net","line":"medi-cal","products":["Medi-Cal MHN CA","Medi-Cal Standard"],"accepts":true,"setting":null},"status":"confirmed","source":"healthnet-fhir-directory","asOf":"2026-10-17","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-15","confidence":"medium","gate":"G3","sentence":"Listed: Health Net's directory listed Karina Hernandez (NPI 1881183697) for Health Net Medi-Cal plans on Oct 17, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-partnership-medi-cal","value":{"payer":"partnership","payerLabel":"Partnership HealthPlan of California","line":"medi-cal","products":["Partnership Health Plan of CA"],"accepts":true,"setting":"office"},"status":"confirmed","source":"dhcs-mcp-274-listing","asOf":"2026-04-21","checkedAt":"2026-10-22T14:42:02Z","staleAfter":"2026-08-19","confidence":"medium","gate":"G3","sentence":"Listed: DHCS Medi-Cal plan network listing listed Karina Hernandez (NPI 1881183697) for Partnership HealthPlan of California Medi-Cal plans on Apr 21, 2026. The state file is old; Gale found no newer one.","cautions":["stale"],"staleNote":"The state file is old; Gale found no newer one."},{"id":"ins-aetna-commercial","value":{"payer":"aetna","payerLabel":"Aetna","line":"commercial","products":["AHF Choice POS II","AHF OA MC","AHF Open Access Aetna Select","Aetna Choice POS II","Aetna Open Access Health Network Only","Aetna Select","HF OPEN POS II","HMO"],"accepts":null,"setting":null},"status":"inferred","source":"aetna-tic-2026-10","asOf":"2026-10-05","checkedAt":"2026-10-22T17:01:05Z","staleAfter":"2027-04-03","confidence":"low","gate":"G3i","sentence":"Likely: Aetna's price file suggests Aetna pays Karina Hernandez (NPI 1881183697) for commercial plans (file of Oct 5, 2026). That is a lead, not a directory listing."},{"id":"ins-anthem-commercial","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"commercial","products":["CA EPO BLUE CONNECTION","CA EPO HIGH PERFORMANCE","CA EPO USC TIER 1","CA HMO ADVANTAGE","CA HMO ADVANTAGE PLUS CC55","CA HMO ADVANTAGE TIER 1","CA HMO CALCARE CONVERSION","CA HMO CALIFORNIACARE CC03"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Karina Hernandez (NPI 1881183697) for commercial plans (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-anthem-marketplace","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"marketplace","products":["CA EPO Pathway","CA HMO Pathway"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Karina Hernandez (NPI 1881183697) for individual and family plans (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-anthem-workers-comp","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"workers-comp","products":["CA WORKERS COMP PERCENTAGE","CA WORKERS COMPENSATION"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Karina Hernandez (NPI 1881183697) for workers' compensation (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-ahf-medi-cal","value":null,"status":"not-listed","source":"ahf-fhir-directory","asOf":"2026-09-19","checkedAt":"2026-10-22T14:57:40Z","staleAfter":"2027-03-18","confidence":"low","gate":"G3","sentence":"Not listed by AIDS Healthcare Foundation (PHP) Medi-Cal plans for Karina Hernandez (NPI 1881183697) in AIDS Healthcare Foundation (PHP)'s directory, file of Sep 19, 2026. That is not a no.","checkedSources":[{"source":"ahf-fhir-directory","asOf":"2026-09-19"}]},{"id":"ins-ahf-medicare-advantage","value":null,"status":"not-listed","source":"ahf-fhir-directory","asOf":"2026-09-15","checkedAt":"2026-10-22T14:57:40Z","staleAfter":"2027-03-14","confidence":"low","gate":"G3","sentence":"Not listed by AIDS Healthcare Foundation (PHP) Medicare Advantage plans for Karina Hernandez (NPI 1881183697) in AIDS Healthcare Foundation (PHP)'s directory, file of Sep 15, 2026. That is not a no.","checkedSources":[{"source":"ahf-fhir-directory","asOf":"2026-09-15"}]},{"id":"ins-bsc-commercial","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California commercial plans for Karina Hernandez (NPI 1881183697) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-bsc-marketplace","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California individual and family plans for Karina Hernandez (NPI 1881183697) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-bsc-medi-cal","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California Promise Health Plan Medi-Cal plans for Karina Hernandez (NPI 1881183697) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-bsc-medicare-advantage","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California Medicare Advantage plans for Karina Hernandez (NPI 1881183697) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-caloptima-medi-cal","value":null,"status":"not-listed","source":"caloptima-fhir-directory","asOf":"2026-10-11","checkedAt":"2026-10-22T21:38:03Z","staleAfter":"2027-04-09","confidence":"low","gate":"G3","sentence":"Not listed by CalOptima Health Medi-Cal plans for Karina Hernandez (NPI 1881183697) in CalOptima Health's directory, file of Oct 11, 2026. That is not a no.","checkedSources":[{"source":"caloptima-fhir-directory","asOf":"2026-10-11"}]},{"id":"ins-calviva-medi-cal","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-21","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-19","confidence":"low","gate":"G3","sentence":"Not listed by CalViva Health Medi-Cal plans for Karina Hernandez (NPI 1881183697) in Health Net's directory, file of Oct 21, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-21"}]},{"id":"ins-healthnet-medicare-advantage","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Wellcare by Health Net Medicare Advantage plans for Karina Hernandez (NPI 1881183697) in Health Net's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-iehp-marketplace","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-07-27","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-01-23","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) individual and family plans for Karina Hernandez (NPI 1881183697) in Inland Empire Health Plan (IEHP)'s directory, file of Jul 27, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-07-27"}]},{"id":"ins-iehp-medi-cal","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-07-29","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-01-25","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) Medi-Cal plans for Karina Hernandez (NPI 1881183697) in Inland Empire Health Plan (IEHP)'s directory, file of Jul 29, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-07-29"}]},{"id":"ins-iehp-medicare-advantage","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-10-16","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-04-14","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) Medicare Advantage plans for Karina Hernandez (NPI 1881183697) in Inland Empire Health Plan (IEHP)'s directory, file of Oct 16, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-10-16"}]},{"id":"ins-kern-medi-cal","value":null,"status":"not-listed","source":"kern-fhir-directory","asOf":"2026-10-09","checkedAt":"2026-10-22T15:04:08Z","staleAfter":"2027-04-07","confidence":"low","gate":"G3","sentence":"Not listed by Kern Family Health Care Medi-Cal plans for Karina Hernandez (NPI 1881183697) in Kern Family Health Care's directory, file of Oct 9, 2026. That is not a no.","checkedSources":[{"source":"kern-fhir-directory","asOf":"2026-10-09"}]},{"id":"ins-lacare-medi-cal","value":null,"status":"not-listed","source":"lacare-fhir-directory","asOf":"2026-10-19","checkedAt":"2026-10-22T15:06:55Z","staleAfter":"2027-04-17","confidence":"low","gate":"G3","sentence":"Not listed by L.A. Care Health Plan Medi-Cal plans for Karina Hernandez (NPI 1881183697) in L.A. Care Health Plan's directory, file of Oct 19, 2026. That is not a no.","checkedSources":[{"source":"lacare-fhir-directory","asOf":"2026-10-19"}]},{"id":"ins-medi-cal-ffs-medi-cal","value":null,"status":"not-listed","source":"dhcs-ffs-enrolled-2026-10-19","asOf":"2026-10-19","checkedAt":"2026-10-22T14:41:40Z","staleAfter":"2027-02-16","confidence":"low","gate":"G3","sentence":"Not listed by Medi-Cal fee-for-service for Karina Hernandez (NPI 1881183697) in DHCS Medi-Cal fee-for-service enrolment file, file of Oct 19, 2026. That is not a no.","checkedSources":[{"source":"dhcs-ffs-enrolled-2026-10-19","asOf":"2026-10-19"}]},{"id":"ins-medicare-medicare","value":null,"status":"not-listed","source":"cms-medicare-clinicians","asOf":"2026-10-02","checkedAt":"2026-10-22T14:36:32Z","staleAfter":"2027-01-30","confidence":"low","gate":"G3","sentence":"Not listed by Original Medicare for Karina Hernandez (NPI 1881183697) in CMS Medicare clinicians file, file of Oct 2, 2026. That is not a no.","checkedSources":[{"source":"cms-medicare-clinicians","asOf":"2026-10-02"}]},{"id":"ins-sfhp-medi-cal","value":null,"status":"not-listed","source":"sfhp-fhir-directory","asOf":"2026-10-01","checkedAt":"2026-10-22T14:56:20Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3","sentence":"Not listed by San Francisco Health Plan Medi-Cal plans for Karina Hernandez (NPI 1881183697) in San Francisco Health Plan's directory, file of Oct 1, 2026. That is not a no.","checkedSources":[{"source":"sfhp-fhir-directory","asOf":"2026-10-01"}]}],"coverage":{"state":"CA","covered":true,"checkedAt":"2026-10-23T22:13:50Z"}},"publicRecord":{},"claim":{"claimed":false,"identityConfirmedOn":null},"actions":{"call":"tel:+16264728722","book":null,"payDoor":null,"saveContact":"/npi/1881183697.vcf","intent":null},"hiddenFacts":[],"answers":[{"q":"new-patients","status":"confirmed","answer":"Cigna's directory listed Karina Hernandez (NPI 1881183697) as taking new patients on Sep 20, 2026.","factIds":["new-patients"]},{"q":"insurance","status":"confirmed","answer":"Listed for Karina Hernandez (NPI 1881183697): Ambetter from Health Net, individual and family (Oct 10, 2026); Central California Alliance for Health, Medi-Cal (Apr 21, 2026); Cigna / Evernorth, commercial (Sep 20, 2026); Gold Coast Health Plan, Medi-Cal (Oct 9, 2026); Health Net, commercial (Oct 17, 2026); and 2 more on the page. Each listing names its source and date.","factIds":["ins-healthnet-marketplace","ins-ccah-medi-cal","ins-cigna-commercial","ins-goldcoast-medi-cal","ins-healthnet-commercial","ins-healthnet-medi-cal","ins-partnership-medi-cal"]},{"q":"cost","status":"unknown","answer":"Gale has no record of what a first visit with Karina Hernandez (NPI 1881183697) costs. Paying yourself? You can ask for a written Good Faith Estimate before the visit.","factIds":[]},{"q":"video","status":"unknown","answer":"Gale has no record of whether Karina Hernandez (NPI 1881183697) offers video visits. Ask the office.","factIds":[]},{"q":"where","status":"self-reported","answer":"Karina Hernandez (NPI 1881183697) is listed in Monrovia, CA by the NPPES registry, as of the registry file of Jun 8, 2026.","factIds":["city","state"]},{"q":"who-they-see","status":"unknown","answer":"Gale has no record of who Karina Hernandez (NPI 1881183697) sees. Ask the office.","factIds":[]},{"q":"help-with","status":"unknown","answer":"Gale has no record of what Karina Hernandez (NPI 1881183697) helps with beyond the registry specialty. Ask the office.","factIds":[]},{"q":"languages","status":"unknown","answer":"Gale has no record of the languages Karina Hernandez (NPI 1881183697) speaks. Ask the office.","factIds":[]},{"q":"how-to-book","status":"self-reported","answer":"Call (626) 472-8722, the practice phone the NPPES registry lists for Karina Hernandez (NPI 1881183697) (Jun 8, 2026).","factIds":["phone"]},{"q":"next-opening","status":"unknown","answer":"Gale has no record of the next opening for Karina Hernandez (NPI 1881183697). Ask the office.","factIds":[]}],"sources":[{"id":"nppes-registry","name":"NPPES registry (CMS)","kind":"registry","asserting":true,"fileDate":"2026-06-08","url":"https://npiregistry.cms.hhs.gov/provider-view/1881183697","handCheck":null},{"id":"aetna-tic-2026-10","name":"Aetna's price file","kind":"price-file","asserting":false,"fileDate":"2026-10-05","url":null,"handCheck":{"wrong":3,"checked":12,"at":"2026-10-22"}},{"id":"ahf-fhir-directory","name":"AIDS Healthcare Foundation (PHP)'s directory","kind":"directory","asserting":true,"fileDate":"2026-09-19","url":null,"handCheck":null},{"id":"anthem-tic-2026-10","name":"Anthem Blue Cross's price file","kind":"price-file","asserting":false,"fileDate":"2026-10-01","url":null,"handCheck":{"wrong":8,"checked":11,"at":"2026-10-22"}},{"id":"bsc-fhir-directory","name":"Blue Shield of California's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":23,"checked":60,"at":"2026-10-22"}},{"id":"caloptima-fhir-directory","name":"CalOptima Health's directory","kind":"directory","asserting":true,"fileDate":"2026-10-11","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"cigna-fhir-directory","name":"Cigna's directory","kind":"directory","asserting":false,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":3,"checked":51,"at":"2026-10-22"}},{"id":"cms-medicare-clinicians","name":"CMS Medicare clinicians file","kind":"cms-file","asserting":true,"fileDate":"2026-10-02","url":null,"handCheck":{"wrong":0,"checked":23,"at":"2026-10-22"}},{"id":"dhcs-ffs-enrolled-2026-10-19","name":"DHCS Medi-Cal fee-for-service enrolment file","kind":"state-file","asserting":true,"fileDate":"2026-10-19","url":null,"handCheck":null},{"id":"dhcs-mcp-274-listing","name":"DHCS Medi-Cal plan network listing","kind":"state-file","asserting":true,"fileDate":"2026-04-21","url":null,"handCheck":null},{"id":"goldcoast-fhir-directory","name":"Gold Coast Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-09","url":null,"handCheck":null},{"id":"healthnet-fhir-directory","name":"Health Net's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":6,"checked":12,"at":"2026-10-22"}},{"id":"iehp-fhir-directory","name":"Inland Empire Health Plan (IEHP)'s directory","kind":"directory","asserting":true,"fileDate":"2026-10-16","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"kern-fhir-directory","name":"Kern Family Health Care's directory","kind":"directory","asserting":true,"fileDate":"2026-10-09","url":null,"handCheck":null},{"id":"lacare-fhir-directory","name":"L.A. Care Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-19","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"sfhp-fhir-directory","name":"San Francisco Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-01","url":null,"handCheck":null}],"terms":"https://www.gale.care/agents#terms","about":{"status":"How each fact is known. confirmed = Listed: a named directory, CMS file or state file lists it. inferred = Likely: a price file suggests it; a likely match is a lead, not a listing. self-reported: the clinician said it, to the NPPES registry or on Gale. not-listed: a source that lists every clinician it covers was read and does not list this one; that is not a no. unknown: no record; ask the office.","sentence":"The fact in one sentence that names the clinician, the NPI, the source and the date. It starts with the status word. Quote it whole.","asOf":"The date the source gives this record (YYYY-MM-DD). It is not the date of the event the record describes: an opt-out states its own start and end dates in its sentence.","checkedAt":"When Gale last read the source.","staleAfter":"After this date the fact keeps its status word and date, and staleNote says the record is old; later still it is dropped. A fact from a full CMS or state file the publisher has not replaced stays, marked stale, up to 270 days after the file's date, and its staleNote says Gale found no newer file.","staleNote":"On a fact past its fresh window only: the record's age, as its own sentence (\"The state file is old; Gale found no newer one.\"). It never changes the status.","confidence":"How far Gale trusts the source, measured on the source (high, medium, low, none). Never a judgment of the clinician.","cautions":"hand-check: Gale checked a sample of this source by hand and found errors (sources[].handCheck has the numbers). conflict: another source disagrees (see conflict). stale: the record is past its fresh window. A caution never changes the status.","gate":"The publication switch that lets this kind of fact show. It says nothing about the clinician.","checkedSources":"For a not-listed fact: each source that was read, with its date.","insurance.rows[].value":"payer is a short id for the plan and payerLabel its name. line is the kind of plan: commercial, marketplace (individual and family), medicare, medicare-advantage, medi-cal, tricare, va, workers-comp. accepts is true on a listing and false only on a dated refusal (a directory's \"not accepting\" or an opt-out), never from absence; on a lead (status inferred) it is null, because a price file never says a clinician accepts a plan. optOut, on an Original Medicare opt-out, is the opt-out's own start and end dates (from, to) from CMS's opt-out list. setting is where the listing says care happens (office, virtual, both), or null when the source does not say.","insurance.coverage":"covered: whether Gale read the insurance files for this state; checkedAt: when it last did.","sources[].kind":"registry: the NPPES registry. cms-file, state-file: government files. directory: an insurer's directory. price-file: an insurer's published rates, which give leads only. gale: Gale's booking system. clinician: the clinician on Gale.","sources[].fileDate":"The date of the source file Gale read.","sources[].handCheck":"Gale's hand check of the source: checked is how many of its entries Gale checked by hand, wrong how many of those were wrong, at the date of the check. It describes the source, not this clinician.","sources[].asserting":"true when the source lists every clinician it covers, so its silence can support a not-listed fact. Only such sources ever do.","factsHash":"Changes only when a fact changes, never on a re-check.","index.basis":"Why the page is or is not indexed. index-all: indexed. Anything else: not indexed, and no reason about the clinician is given.","exportId":"The data export the facts come from.","hiddenFacts":"Facts withheld because someone disputed them. No reason is given."}}