Individual provider Active NPI

Candace Lenore Hernandez, M.A

  • Marriage & Family Therapist
  • Santa Clarita, CA
National Provider Identifier
1689149643
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT118283 Issued in CA
Practice address
28100 Bouquet Canyon Road Suite 218
Santa Clarita, CA 91350
Phone
(909) 210-3282
NPI assigned
Oct 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X LMFT118283 CA Primary

Addresses

Primary practice location

28100 Bouquet Canyon Road Suite 218
Santa Clarita, CA 91350

Mailing address

PO Box 220836
Newhall, CA 91322-0836
Phone (909) 210-3282

Other practice location 1

21600 Oxnard St Ste 1030
Woodland Hills, CA 91367-5085
Phone (877) 206-1009

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT118283CAMDMarriage & Family Therapist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25119/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1689149643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220836",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913220836",
            "telephone_number": "909-210-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28100 BOUQUET CANYON ROAD SUITE 218",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91350",
            "telephone_number": "909-210-3282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21600 Oxnard St Ste 1030",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913675085",
            "country_code": "US",
            "telephone_number": "877-206-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CANDACE",
        "middle_name": "LENORE",
        "credential": "M.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT118283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.