Active NPI
Angie Janet Hernandez
- Peer Specialist
- Long Beach, CA
National Provider Identifier
1154180263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-INZGJC
- Practice address
- 2101 Magnolia Ave
Long Beach, CA 90806-4521 - Phone
- (562) 218-1868
- Fax
- (562) 591-0346
- NPI assigned
- Mar 19, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Peer Specialist | 175T00000X | MPSS-INZGJC | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA |
Addresses
Primary practice location
2101 Magnolia Ave
Long Beach, CA 90806-4521
Mailing address
20350 Anza Ave Apt 4
Torrance, CA 90503-2357
Phone (310) 666-7634
Other practice location 1
3633 E Broadway
Long Beach, CA 90803-6035
Phone (562) 285-1330
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Town Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Torrance, CA
- NPI 1861828600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1154180263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20350 ANZA AVE APT 4",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905032357",
"telephone_number": "310-666-7634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 MAGNOLIA AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908064521",
"telephone_number": "562-218-1868",
"fax_number": "562-591-0346"
}
],
"practiceLocations": [
{
"address_1": "3633 E Broadway",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908036035",
"country_code": "US",
"telephone_number": "562-285-1330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ANGIE",
"middle_name": "JANET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-INZGJC",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": false
}
],
"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 Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.