Edward Hernandez

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300479 Issued in CA

Practice address

5000 Van Nuys Blvd Ste 110
Sherman Oaks, CA 91403-1717

Phone

(818) 783-2396

NPI assigned

Aug 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ilya Kaminsky DC a Professional CorporationGroup PAC ID 8325190168, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ilya Kaminsky DC a Professional Corporation

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1417128125
  Medicare reassignment Care Compare group NPD
• A Plus Care LLC

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1912485707
  Medicare reassignment NPD
• Fusion Physical Therapy Inc

  • Physical Therapist
  • Sherman Oaks, CA
  • NPI 1437211919
  NPD

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1336813203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14335 HUSTON ST APT 214",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231862",
            "telephone_number": "323-774-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 VAN NUYS BLVD STE 110",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031717",
            "telephone_number": "818-783-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Hermosillo, LMFT
• April Julie Hernandez
• Ashley Hernandez
• Christian Matthew Hernandez
• Edgar Francisco Hernandez
• Gabriel Arcangel Hernandez
• Gloria Monica Hernandez
• Jessamine Hernandez
• Jessica Hernandez
• Jessica Castillo Hernandez

• Physical Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.