Active NPI
Aiden Xian Hernandez Alidio, DPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1487826723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294209
- Practice address
- 1818 Pomeroy Ave
Los Angeles, CA 90033-1329 - Phone
- (201) 370-8802
- NPI assigned
- Mar 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070014804 | IL | |
| Physical Therapist | 225100000X | 294209 | CA | Primary |
Addresses
Primary practice location
1818 Pomeroy Ave
Los Angeles, CA 90033-1329
Mailing address
1818 Pomeroy Ave
Los Angeles, CA 90033-1329
Phone (201) 370-8802
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294209 | CA | MD | Physical Therapist |
| 070014804 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1487826723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 POMEROY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331329",
"telephone_number": "201-370-8802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 POMEROY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331329",
"telephone_number": "201-370-8802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALIDIO",
"first_name": "AIDEN XIAN",
"middle_name": "HERNANDEZ",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-27",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070014804",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Ngozi Vivian Alia
- Arya Rod Aliabadi
- Raya Aliakbar, MPH, DO
- Angelina Aliav, MA, AMFT
- Alice R Berkowitz PHD, a Professional Psychology Corporation
- Align Fitness a Physical Therapy Corporation
- Align Individual, Couple & Family Online Therapy, Inc.
- Align Physical Therapy
- Aligned Mind Health Services Inc
- Mahya Alihaji Farsangi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.