Individual provider Active NPI

Noel Buenafe Hernandez, R.P.T.

  • Specialist
  • Sunnyvale, CA
National Provider Identifier
1679899819
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22508 Issued in CA
Practice address
260 S Sunnyvale Ave
Suite 9
Sunnyvale, CA 94086-6287
Phone
(408) 616-8880
Fax
(408) 616-8885
NPI assigned
Apr 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22508 CA Primary

Addresses

Primary practice location

260 S Sunnyvale Ave
Suite 9
Sunnyvale, CA 94086-6287

Mailing address

260 S Sunnyvale Ave
Suite 9
Sunnyvale, CA 94086-6287
Phone (408) 616-8880

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

LicenseStateTypeSpecialty
22508CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Coast Rehab Physical Therapy Inc CurrentSince Feb 4, 2025 Accepting new patients
Healthsummit Physical Therapy, Inc. PastSince Jul 30, 2007 Accepting new patients

Locations

22445 Cupertino Rd
Cupertino, CA 95014
Phone (408) 253-4300

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1679899819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S SUNNYVALE AVE",
            "address_2": "SUITE 9",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866287",
            "telephone_number": "408-616-8880",
            "fax_number": "408-616-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S SUNNYVALE AVE",
            "address_2": "SUITE 9",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866287",
            "telephone_number": "408-616-8880",
            "fax_number": "408-616-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "NOEL",
        "middle_name": "BUENAFE",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "22508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.