Active NPI
Sarah Buenviaje Hermogeno, PTA
- Physical Therapist
- Reseda, CA
National Provider Identifier
1023407772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- AT 9662
- Practice address
- 7120 Corbin Ave
Reseda, CA 91335-3618 - Phone
- (818) 881-4540
- NPI assigned
- Jan 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | AT 9662 | CA | Primary |
Addresses
Primary practice location
7120 Corbin Ave
Reseda, CA 91335-3618
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (800) 243-4556
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 9662 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1023407772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "800-243-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 CORBIN AVE",
"city": "RESEDA",
"state": "CA",
"postal_code": "913353618",
"telephone_number": "818-881-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMOGENO",
"first_name": "SARAH",
"middle_name": "BUENVIAJE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-20",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "AT 9662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
- Monica Patricia Herdoiza, D.D.S
- Heritage Congregate Living
- Heritage Home Health, Inc.
- Heritage Orthopedic & Industrial Medicine Multi-Specialty Group, Inc
- Heritage Orthopedic and Industrial Medicine Multispecialty Medicine
- Ashley Hernandez
- Berta Hernandez
- David J Hernandez, MD
- Jason P Hernandez
- Jennifer Herron
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.