Individual provider Active NPI

Christopher Steven Hernandez, PT, DPT

  • Physical Therapist
  • Santa Ana, CA
National Provider Identifier
1073288999
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300543 Issued in CA
Practice address
600 S Grand Ave Ste 106
Santa Ana, CA 92705-4152
Phone
(714) 972-0489
NPI assigned
Aug 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300543 CA Primary

Addresses

Primary practice location

600 S Grand Ave Ste 106
Santa Ana, CA 92705-4152

Mailing address

405 E Monroe Ave
Orange, CA 92867-5748

Other practice location 1

1520 Brookhollow Dr Ste 37
Santa Ana, CA 92705-5427
Phone (714) 953-7330

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

LicenseStateTypeSpecialty
300543CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1073288999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E MONROE AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S GRAND AVE STE 106",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054152",
            "telephone_number": "714-972-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Brookhollow Dr Ste 37",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927055427",
            "country_code": "US",
            "telephone_number": "714-953-7330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "STEVEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300543",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.