Stephanee Sirimauo Hethumuni, M.D.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

A33432 Issued in CA

Practice address

101 E Beverly Blvd
404
Montebello, CA 90640-4300

Phone

(323) 722-6861

Fax

(323) 722-0158

NPI assigned

Jan 4, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: stephanee.hethumuni.p1@direct.scfhc.nextgenshare.com

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.

• South Central Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Montebello, CA
  • NPI 1851982797
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639226202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 GLEN OAKS BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051053",
            "telephone_number": "626-683-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD",
            "address_2": "404",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404300",
            "telephone_number": "323-722-6861",
            "fax_number": "323-722-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETHUMUNI",
        "first_name": "STEPHANEE",
        "middle_name": "SIRIMAUO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "A33432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Hernandez
• Janice Herrera
• Hess Rehabilitation and Chiropractic Centers, Inc
• James Hess, D.C.
• Rehana Minoli Hethumuni, D.O.
• HNNN Medical Corporation
• Robert Anh Hoang, DDS
• Debra Holguin, PHARMD
• Hope Artificial Limb & Brace,LLC
• Hope Artificial Limb and Brace

• Exclusive Provider Organization in Montebello, CA
• Providers in Montebello, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.