Organization Active NPI

Hernandez Chiropractic & Wellness Inc.

  • Clinic/Center
  • Long Beach, CA
National Provider Identifier
1124734397
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HERNANDEZ CHIROPRACTIC & WELLNESS INC.
Practice address
4401 Atlantic Ave Ste 480
Long Beach, CA 90807-2265
Phone
(562) 508-1557
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Dr. Mireya Hernandez, DCNPI 1295060135
Title
Owner
Phone
(562) 508-1557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4401 Atlantic Ave Ste 480
Long Beach, CA 90807-2265

Mailing address

5536 Lime Ave Apt a
Long Beach, CA 90805-5581
Phone (562) 508-1557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251217004365 CA Part B Supplier - Clinic/Group Practice 4880189844 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1124734397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5536 LIME AVE APT A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055581",
            "telephone_number": "562-508-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 480",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072265",
            "telephone_number": "562-508-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ CHIROPRACTIC & WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MIREYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-508-1557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.