Active NPI
Nancy Hernandez
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
National Provider Identifier
1063687101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 470 E 3Rd St Ste C
Los Angeles, CA 90013 - Phone
- (213) 620-5712
- NPI assigned
- Apr 29, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
470 E 3Rd St Ste C
Los Angeles, CA 90013
Mailing address
470 E 3Rd St Ste C
Los Angeles, CA 90013-1630
Phone (213) 620-5712
Other practice location 1
12450 Van Nuys Blvd Ste 100
Pacoima, CA 91331-1392
Phone (818) 896-8366 ext. 8041
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1063687101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 E 3RD ST STE C",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131630",
"telephone_number": "213-620-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 E 3RD ST STE C",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90013",
"telephone_number": "213-620-5712"
}
],
"practiceLocations": [
{
"address_1": "12450 Van Nuys Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Pacoima",
"state": "CA",
"postal_code": "913311392",
"country_code": "US",
"telephone_number": "818-896-8366 x8041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.