Rogelio Hernandez Jr., DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

39405 Issued in CA

Practice address

1764 San Diego Ave
Suite 100
San Diego, CA 92110-1987

Phone

(619) 291-1959

NPI assigned

Feb 9, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MKC Physical Therapy IncGroup PAC ID 6800024720, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MKC Physical Therapy Inc

  • Physical Therapist
  • El Cajon, CA
  • NPI 1609117829
  Medicare reassignment Care Compare group NPD
• Quality Care Therapeutic Services Inc

  • Physical Therapist
  • El Cajon, CA
  • NPI 1639443781
  Medicare reassignment NPD
• Ziad a Tamimi MD a Professional Medical Corporation

  • General Practice Physician
  • San Diego, CA
  • NPI 1669699724
  NPD
• Nexus Physical Therapy

  • Physical Therapist
  • Elcajon, CA
  • NPI 1952461741
  NPD (past)
• Osteo Relief Institute Inc

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1992093793
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360368000000",
    "number": "1003155136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 SAN DIEGO AVE",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101987",
            "telephone_number": "619-291-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 SAN DIEGO AVE",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101987",
            "telephone_number": "619-291-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ROGELIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-09",
        "last_updated": "2013-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "39405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Hernandez
• Rebecca Hernandez
• Ricardo Hernandez
• Ricardo Javier Hernandez, DDS
• Rocio Maria Hernandez
• Rosauro Ogalino Hernandez
• Rosio Hernandez, RD
• Ruby Hernandez
• Samantha Nicole Hernandez
• Sarah Hernandez

• Physical Medicine & Rehabilitation Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.