Active NPI
Denise Hernandez
- Marriage & Family Therapist
- Santa Fe Springs, CA
National Provider Identifier
1104483759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 152940
- Practice address
- 11111 Bloomfield Ave
Santa Fe Springs, CA 90670-4655 - Phone
- (562) 906-2685
- NPI assigned
- May 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ACSW119021 | CA | |
| Marriage & Family Therapist | 106H00000X | 152940 | CA | Primary |
Addresses
Primary practice location
11111 Bloomfield Ave
Santa Fe Springs, CA 90670-4655
Mailing address
PO Box 4534
El Monte, CA 91734-0534
Phone (909) 764-8455
Other practice location 1
2550 E Foothill Blvd
Pasadena, CA 91107-3406
Phone (626) 744-5230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACSW119021 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mood Clinical, P. C. | Current | Accepting new patients | |
| Pacific Clinics | Past | Accepting new patients | |
| Glenn Medical Center, LLC | Past | Accepting new patients |
Locations
18191 Von Karman Ave
Ste 100
Irvine, CA 92612
Phone (530) 889-7293
50 California St
Ste 1500
San Francisco, CA 94111
Phone (310) 648-0700
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Santa Ana, CA
- NPI 1922675644
-
- Critical Access Hospital
- Willows, CA
- NPI 1619929759
-
- Community/Behavioral Health Agency
- Pasadena, CA
- NPI 1992463020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1104483759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4534",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917340534",
"telephone_number": "909-764-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 BLOOMFIELD AVE",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906704655",
"telephone_number": "562-906-2685"
}
],
"practiceLocations": [
{
"address_1": "2550 E Foothill Blvd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911073406",
"country_code": "US",
"telephone_number": "626-744-5230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-20",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ACSW119021",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "152940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.