Angeline Hernandez, MA, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

20867 Issued in CA

Practice address

11609 Washington PL
Los Angeles, CA 90066-5013

Phone

(310) 775-0356

NPI assigned

Feb 12, 2022

Last updated

Feb 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angeline@playspacepediatrics.com

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.

• Playspace Pediatrics

  • Occupational Therapist
  • Los Angeles, CA
  • NPI 1831950203
  NPD

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

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1548915101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 PALOMINO DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917914304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11609 WASHINGTON PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665013",
            "telephone_number": "310-775-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANGELINE",
        "credential": "MA, OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "20867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Angeline@playspacepediatrics.com",
            "affiliation": "N",
            "address_1": "11609 Washington Pl",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900665013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andres Hector Hernandez, LCSW
• Anelis Hernandez
• Angel Anthony Hernandez
• Angel Eduardo Hernandez
• Angela Maria Hernandez
• Angie Renee Hernandez, LVN
• Anna Patricia Hernandez
• Anthony Garcia Hernandez, FNP
• April P Hernandez
• Arisleicy Hernandez

• Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.