Individual provider Active NPI

Jovel Hernandez Angeles, PT

  • Physical Therapist
  • Diamond Bar, CA
National Provider Identifier
1194997080
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19943 Issued in CA
Practice address
402 S Prospectors Rd
Suite E
Diamond Bar, CA 91765-1618
Phone
(909) 860-5382
Fax
(909) 860-5384
NPI assigned
Mar 31, 2008
Last updated
Mar 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19943 CA Primary

Addresses

Primary practice location

402 S Prospectors Rd
Suite E
Diamond Bar, CA 91765-1618

Mailing address

402 S Prospectors Rd
Suite E
Diamond Bar, CA 91765-1618
Phone (909) 860-5382

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250127000075 CA Practitioner - Physical Therapist in Private Practice 4284703794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vnex Rehab IncGroup PAC ID 3173951969, 4 clinicians

Practice addresses (Care Compare)

2390 E Florida Ave
Suite 201
Hemet, CA 92544-4754
Phone (951) 237-8304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19943CAMDGeneral Practice Dentistry
PT19943CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vnex Rehab, Inc. CurrentSince Nov 21, 2024 Accepting new patients
Diamond Physical Therapy Physical Therapist Past Accepting new patients

Locations

2390 E Florida Ave
Ste 201
Hemet, CA 92544
Phone (909) 765-1333

29826 Haun Rd
Ste 200
Sun City, CA 92586
Phone (951) 237-8304

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1194997080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S PROSPECTORS RD",
            "address_2": "SUITE E",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651618",
            "telephone_number": "909-860-5382",
            "fax_number": "909-860-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S PROSPECTORS RD",
            "address_2": "SUITE E",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651618",
            "telephone_number": "909-860-5382",
            "fax_number": "909-860-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "JOVEL",
        "middle_name": "HERNANDEZ",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.