Lisa Marie Hernandez, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT79612 Issued in CA

Practice address

2730 Wilshire Blvd Ste 650
Santa Monica, CA 90403-4746

Phone

(424) 253-8824

Fax

(424) 389-7572

NPI assigned

May 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1457586984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 OVERLAND AVE UNIT 5",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323367",
            "telephone_number": "818-257-2405",
            "fax_number": "424-389-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 650",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034746",
            "telephone_number": "424-253-8824",
            "fax_number": "424-389-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "79612",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT79612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Hernandez, PHARMD
• Erika Hernandez
• Jaime Hernandez, AOD
• Jason Alexander Hernandez
• Linda Hernandez
• Maria Yesenia Hernandez, MSW
• Miguel Hernandez, R1226930416
• Nicole Hernandez, DPT
• Norma Angelica Hernandez
• Oscar Hernandez, M.D.

• Marriage & Family Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.