Erik Hernandez
Individual provider Active NPI Physical Therapist · Rolling Hills Estates, CA
NPI 1689207359 · NPPES record last updated Feb 20, 2020
Key facts
- NPI
- 1689207359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 550 Deep Valley Dr Ste 297
Rolling Hills Estates, CA 90274-3698 - Phone
- (310) 544-6264
- NPI assigned
- Feb 20, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200331001924 | CA | Practitioner - Physical Therapist in Private Practice | 5092144857 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
| Peninsula Physical Therapy Inc. | Physical Therapist | Current |
Accepting new patients |
| Pacific Physical Therapy | Physical Therapist | Past |
Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
550 Deep Valley Dr
Ste 297
Rolling Hills Estates, CA 90274
Phone (310) 544-6264
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
550 Deep Valley Dr Ste 297
Rolling Hills Estates, CA 90274-3698
Mailing address
550 Deep Valley Dr Ste 297
Rolling Hills Estates, CA 90274-3698
Phone (310) 544-6264
Other providers in Rolling Hills Estates, CA
- Terry Whitesides Hawley
- Kirstin Marie Hellmeyer
- Hemmat Health, PC
- Matin R Hemmat
- Laura E. Henson
- Miwako Hisagi
- Madison Ho
- Michelle Kay Ho
- Ashley Holmes
- Suzanne Y Homer
All providers in Rolling Hills Estates, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.