Patricia Miranda Hernandez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

89758 Issued in CA

Practice address

2301 E 28TH St Ste 309
Signal Hill, CA 90755-2181

Phone

(310) 961-0158

NPI assigned

May 17, 2012

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Patricia Miranda Montoya Former name

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1396005815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18080 CRENSHAW BLVD UNIT 6733",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905046430",
            "telephone_number": "310-961-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E 28TH ST STE 309",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552181",
            "telephone_number": "310-961-0158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Artesia Blvd Apt 25",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905043149",
            "country_code": "US",
            "telephone_number": "310-961-0158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "PATRICIA",
        "middle_name": "MIRANDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "89758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MIRANDA MONTOYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Lynn Harman, PT
• Jalynn Harris
• Haven Health Care
• Christine Anderson Hawatmeh, PA-C
• Healthmate RQ LLC
• Teresa Ellain Hernandez, MSW
• Sonya Herrera
• Kristin Michelle Hirahatake, R.D.
• Yen Ho
• Irene Holquin, BA

• Clinical Social Worker in Signal Hill, CA
• Providers in Signal Hill, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.