Individual provider Active NPI

Angela Ray Hernandez, LMFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1407042070
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC44470 Issued in CA
Practice address
881 Kilmarnock Way
Riverside, CA 92508-6077
Phone
(951) 616-4621
NPI assigned
Sep 18, 2007
Last updated
Sep 18, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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 MFC44470 CA Primary

Addresses

Primary practice location

881 Kilmarnock Way
Riverside, CA 92508-6077

Mailing address

881 Kilmarnock Way
Riverside, CA 92508-6077
Phone (951) 780-5741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7177 Brockton Ave
Suite 114
Riverside, CA 92506-2631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC44470CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sessions Family Therapy Group Inc Marriage & Family Therapist Current Accepting new patients

Locations

7177 Brockton Ave
Ste 114
Riverside, CA 92506
Phone (951) 276-1644

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, 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": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1407042070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 KILMARNOCK WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086077",
            "telephone_number": "951-780-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 KILMARNOCK WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086077",
            "telephone_number": "951-616-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANGELA",
        "middle_name": "RAY",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC44470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.