Active NPI
Ernesto Hernandez, DPT
- Physical Therapist
- Lynwood, CA
National Provider Identifier
1649867532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 299591
- Practice address
- 3680 E Imperial Hwy Ste 504
Lynwood, CA 90262-2659 - Phone
- (310) 807-7545
- NPI assigned
- Dec 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 299591 | CA | Primary |
Addresses
Primary practice location
3680 E Imperial Hwy Ste 504
Lynwood, CA 90262-2659
Mailing address
4735 Oakwood Ave Apt 1
Los Angeles, CA 90004-3182
Phone (323) 770-2871
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 |
|---|---|---|---|
| 299591 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select CS Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Ridgecrest, CA
- NPI 1386228302
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1649867532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 OAKWOOD AVE APT 1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043182",
"telephone_number": "323-770-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3680 E IMPERIAL HWY STE 504",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622659",
"telephone_number": "310-807-7545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ERNESTO",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-24",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "299591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.