Individual provider Active NPI

Brighton Northrop Hernandez

  • Speech-Language Assistant
  • Redondo Beach, CA
National Provider Identifier
1477057289
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
3606 Issued in CA
Practice address
2602 Nelson Ave
Redondo Beach, CA 90278-2613
Phone
(310) 658-3171
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 3606 CA Primary

Addresses

Primary practice location

2602 Nelson Ave
Redondo Beach, CA 90278-2613

Mailing address

120 36TH St
Manhattan Beach, CA 90266-3202
Phone (310) 658-3171

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

State licenses

LicenseStateTypeSpecialty
3606CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Day Therapy Center Inc Speech-Language Assistant Current Accepting new patients

Locations

2602 Nelson Ave
Redondo Beach, CA 90278
Phone (310) 658-3171

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1477057289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 36TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663202",
            "telephone_number": "310-658-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 NELSON AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782613",
            "telephone_number": "310-658-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "BRIGHTON",
        "middle_name": "NORTHROP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "3606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.