Individual provider Active NPI

Polly Hernandez

  • Home Health Registered Nurse
  • Inglewood, CA
National Provider Identifier
1104090950
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Practice address
513 1/2 E Manchester Blvd
#202
Inglewood, CA 90301-1907
Phone
(310) 673-9193
Fax
(310) 673-9195
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X CA Primary

Addresses

Primary practice location

513 1/2 E Manchester Blvd
#202
Inglewood, CA 90301-1907

Mailing address

513 1/2 E Manchester Blvd
#202
Inglewood, CA 90301-1907
Phone (310) 673-9193

Other names 1

  • Silas Medical Services Other name

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1104090950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 1/2 E MANCHESTER BLVD",
            "address_2": "#202",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011907",
            "telephone_number": "310-673-9193",
            "fax_number": "310-673-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 1/2 E MANCHESTER BLVD",
            "address_2": "#202",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011907",
            "telephone_number": "310-673-9193",
            "fax_number": "310-673-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "POLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SILAS",
            "last_name": "SERVICES",
            "middle_name": "MEDICAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.