Active NPI
Humberto Ricardo Hernandez, PH.D.
- Psychologist
- Irvine, CA
National Provider Identifier
1104104249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY26563
- Practice address
- 4000 Barranca Pkwy Ste 250
Irvine, CA 92604-1713 - Phone
- (562) 281-7595
- NPI assigned
- Jul 22, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY26563 | CA | Primary |
Addresses
Primary practice location
4000 Barranca Pkwy Ste 250
Irvine, CA 92604-1713
Mailing address
4000 Barranca Pkwy Ste 250
Irvine, CA 92604-1713
Phone (562) 281-7595
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26563 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iris Psychological & Wellness Services | Current | Accepting new patients | |
| Cerritos College, Student Health Services | Past | Accepting new patients |
Locations
4000 Barranca Pkwy
Ste 250
Irvine, CA 92604
Phone (949) 577-0047
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Irvine, CA
- NPI 1508695396
-
- Health Service Clinic/Center
- Norwalk, CA
- NPI 1225299860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1104104249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 BARRANCA PKWY STE 250",
"city": "IRVINE",
"state": "CA",
"postal_code": "926041713",
"telephone_number": "562-281-7595",
"fax_number": "949-449-8572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 BARRANCA PKWY STE 250",
"city": "IRVINE",
"state": "CA",
"postal_code": "926041713",
"telephone_number": "562-281-7595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "HUMBERTO",
"middle_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-22",
"last_updated": "2023-02-28",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY26563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.