Active NPI
Erin Elissa Hernandez, DPT
- Physical Therapist
- Santa Ana, CA
National Provider Identifier
1023400090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42325
- Practice address
- 1910 Old Tustin Ave
Santa Ana, CA 92705-7811 - Phone
- (714) 835-6638
- Fax
- (714) 835-4889
- NPI assigned
- Feb 26, 2015
- Last updated
- Aug 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 42325 | CA | Primary |
Addresses
Primary practice location
1910 Old Tustin Ave
Santa Ana, CA 92705-7811
Mailing address
19531 Beach Blvd
Huntington Beach, CA 92648-2902
Phone (714) 960-7995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42325 | Other | CA | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42325 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1023400090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19531 BEACH BLVD",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926482902",
"telephone_number": "714-960-7995",
"fax_number": "714-960-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 OLD TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927057811",
"telephone_number": "714-835-6638",
"fax_number": "714-835-4889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ERIN",
"middle_name": "ELISSA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-26",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "42325",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.