Emmanuel Hernandez

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

302963 Issued in CA

Practice address

1520 W Beverly Blvd
Montebello, CA 90640-3930

Phone

(323) 725-0711

NPI assigned

Sep 30, 2022

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rancho Physical Therapy IncGroup PAC ID 2365346491, 29 clinicians

Prime Rehab Center Physical Therapy a Professional CorporationGroup PAC ID 0749561157, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Prime Rehab Center Physical Therapy a Professional Corporation

  • Physical Therapist
  • Fontana, CA
  • NPI 1669914396
  Medicare reassignment Care Compare group NPD
• Rancho Physical Therapy, Inc.

  • Physical Therapist
  • Temecula, CA
  • NPI 1679541320
  Medicare reassignment Care Compare group NPD
• Rancho Physical Therapy, Inc.

  • Physical Therapist
  • Riverside, CA
  • NPI 1912288309
  NPD

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1447974605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S 2ND ST",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906405302",
            "telephone_number": "805-284-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403930",
            "telephone_number": "323-725-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "EMMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hawthorne Radiology Associates Medical Group, Inc.
• Healing Angels Nursing Services, Inc.
• Celina De la Rocha Henley, L.AC.
• Dino Carlos Hernandez, D.D.S
• Elias Hernandez, CASE MANAGER
• John Manuel Hernandez, MD
• Lizbeth Guadalupe Hernandez, MFTI
• Melissa Ynez Hernandez
• Monica Hernandez
• Sergio Antonio Hernandez, MD

• Physical Therapist in Montebello, CA
• Providers in Montebello, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.