Nicholas Hernandez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

54565 Issued in CA

Practice address

2138 S Wisteria CT
Ontario, CA 91761-5436

Phone

(626) 824-6935

Fax

(626) 824-6935

NPI assigned

Dec 18, 2025

Sex

Male

Sole proprietor

No

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, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Premier Orthopaedic Trauma Specialists, PMC

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1407304439
  Medicare reassignment NPD
• Sports Medicine and Orthopaedic Institute

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Victorville, CA
  • NPI 1669993218
  NPD

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1043175391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 S WISTERIA CT",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917615436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 S WISTERIA CT",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917615436",
            "telephone_number": "626-824-6935",
            "fax_number": "626-824-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "54565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlen Hernandez
• Mercedes Marie Vicenta Hernandez, DOULA
• Moises Hernandez
• Natalie Hernandez
• Nataly Hernandez
• Nicole Hernandez
• Nicole Lauren Hernandez
• Raylene Hernandez
• Rebecca Hernandez
• Rosalia Hernandez

• Physical Therapy Assistant in Ontario, CA
• Providers in Ontario, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.