Active NPI
Alyssa Marie Hernandez, HHP, CMT
- Massage Therapist
- San Diego, CA
National Provider Identifier
1447021084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 84984
- Practice address
- 3444 Kearny Villa Rd Ste 401
San Diego, CA 92123-1964 - Phone
- (858) 616-6400
- NPI assigned
- Jan 11, 2024
- Last updated
- Jan 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 84984 | CA | Primary |
Addresses
Primary practice location
3444 Kearny Villa Rd Ste 401
San Diego, CA 92123-1964
Mailing address
4445 Eastgate Mall Ste 105
San Diego, CA 92121-1979
Phone (858) 412-6080
Other practice location 1
955 Lane Ave Ste 200
Chula Vista, CA 91914-4525
Phone (619) 421-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Specialists Medical Group | Past | Accepting new patients | |
| Synergy Orthopedic Specialists, Inc. | Past | Accepting new patients |
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.
-
- Specialist
- San Diego, CA
- NPI 1114282779
-
- Specialist
- San Diego, CA
- NPI 1043699804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1447021084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4445 EASTGATE MALL STE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211979",
"telephone_number": "858-412-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3444 KEARNY VILLA RD STE 401",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231964",
"telephone_number": "858-616-6400"
}
],
"practiceLocations": [
{
"address_1": "955 Lane Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919144525",
"country_code": "US",
"telephone_number": "619-421-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"credential": "HHP, CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-11",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "84984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.