Individual provider Active NPI

Leonel Hernandez, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1376880716
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102621 Issued in CA
Practice address
560 S St Louis St FL 2
Los Angeles, CA 90033-4320
Phone
(323) 261-4900
NPI assigned
Jan 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 102621 CA Primary

Addresses

Primary practice location

560 S St Louis St FL 2
Los Angeles, CA 90033-4320

Mailing address

560 S St Louis St FL 2
Los Angeles, CA 90033-4320
Phone (323) 261-4900

Other practice location 1

12821 Victory Blvd
North Hollywood, CA 91606-3012
Phone (818) 432-5025

Other practice location 2

808 W 58th St
Los Angeles, CA 90037-3632
Phone (323) 541-1411

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624004268 CA Practitioner - Marriage and Family Therapist 2163965740 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102621CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enki Health Services, Inc. Current Accepting new patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health CurrentSince Jun 1, 2024 Accepting new patients
St. Johns Community Health CurrentSince Jun 1, 2024 Accepting new patients
Enki Health Services, Inc. CurrentSince Jan 22, 2025 Accepting new patients
Enki Health Services, Inc. CurrentSince Jan 22, 2025 Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

6001 Clara St
Bell Gardens, CA 90201
Phone (562) 806-5000

150 E Olive Ave
Ste 203
Burbank, CA 91502
Phone (818) 973-4899

1436 Goodrich Blvd
Commerce, CA 90022
Phone (323) 725-1337

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

160 S 7th Ave
La Puente, CA 91746
Phone (626) 961-8971

560 S St Louis St
Fl 2
Los Angeles, CA 90033
Phone (323) 261-4900

560 S St Louis St
Los Angeles, CA 90033
Phone (213) 480-1557

1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1376880716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S ST LOUIS ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900334320",
            "telephone_number": "323-261-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S ST LOUIS ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900334320",
            "telephone_number": "323-261-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12821 Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916063012",
            "country_code": "US",
            "telephone_number": "818-432-5025",
            "fax_number": "818-760-9092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "808 W 58th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900373632",
            "country_code": "US",
            "telephone_number": "323-541-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LEONEL",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-04",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.