Alex Antonio Henriquez

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

35F8E25B52 Issued in CA

Practice address

13330 Vaughn St
San Fernando, CA 91340-2216

Phone

(818) 896-7461

NPI assigned

Jun 2, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vaughn Next Century Learning Center

  • Local Education Agency (LEA)
  • San Fernando, CA
  • NPI 1629833702
  NPD (past)

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1558293522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 VAUGHN ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402216",
            "telephone_number": "818-896-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 VAUGHN ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402216",
            "telephone_number": "818-896-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "ALEX",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "35F8E25B52",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hathaway Sycamores Child and Family Services
• Hathaway Sycamores Child and Family Services
• Healthy Family Home Health Care Inc
• Heavenly Dental
• Bruce P Hector, MD
• Hepius Home Health Care Group
• Elizabeth F. Hermosillo, RDHAP
• Crystal J. Hernandez Ruiz, LCSW
• Jamie Hernandez Ruiz
• Christian Azael Hernandez

• Health & Wellness Coach in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.