Active NPI
Crystal C. Hernandez
- Contractor
- Long Beach, CA
National Provider Identifier
1659697001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 324 E Bixby Rd
Long Beach, CA 90807-3432 - Phone
- (562) 595-8111
- Fax
- (562) 595-8148
- NPI assigned
- Apr 9, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
324 E Bixby Rd
Long Beach, CA 90807-3432
Mailing address
324 E Bixby Rd
Long Beach, CA 90807-3432
Phone (562) 595-8111
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1659697001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 E BIXBY RD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073432",
"telephone_number": "562-595-8111",
"fax_number": "562-595-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 E BIXBY RD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073432",
"telephone_number": "562-595-8111",
"fax_number": "562-595-8148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "CRYSTAL",
"middle_name": "C.",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-09",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.