Individual provider Active NPI

Emma Sofia Hernandez, LMFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1710019989
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
3939 Atlantic Ave
Ste. 103
Long Beach, CA 90807-3536
Phone
(626) 577-8480
Fax
(626) 577-8978
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

3939 Atlantic Ave
Ste. 103
Long Beach, CA 90807-3536

Mailing address

1001 E 28TH St
Los Angeles, CA 90011-2032
Phone (213) 300-6297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206004337 CA Practitioner - Marriage and Family Therapist 5395188361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3939 Atlantic Ave
Suite 103
Long Beach, CA 90807-3529
Phone (562) 264-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
91643CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Clinic and the Community Assistance Program for Seniors CurrentSince Jan 1, 2024 Accepting new patients
Heritage Clinic and the Community Assistance Program for Seniors Current Accepting new patients
Heritage Clinic and the Community Assistance Program for Seniors CurrentSince Jan 1, 2024 Accepting new patients

Locations

3939 Atlantic Ave
Ste 103
Long Beach, CA 90807
Phone (562) 264-6001

447 N El Molino Ave
Pasadena, CA 91101
Phone (626) 577-8480

Organizations & group practices 3

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1710019989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E 28TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900112032",
            "telephone_number": "213-300-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 ATLANTIC AVE",
            "address_2": "STE. 103",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073536",
            "telephone_number": "626-577-8480",
            "fax_number": "626-577-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "EMMA",
        "middle_name": "SOFIA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.