Individual provider Active NPI

Ricardo Hernandez Jr., PT DPT

  • Orthopedic Physical Therapist
  • San Juan Capistrano, CA
National Provider Identifier
1740999739
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
303164 Issued in CA
Practice address
32261 Camino Capistrano Ste D101
San Juan Capistrano, CA 92675-3747
Phone
(949) 429-2155
NPI assigned
Nov 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 303164 CA Primary

Addresses

Primary practice location

32261 Camino Capistrano Ste D101
San Juan Capistrano, CA 92675-3747

Mailing address

24 Regalo Dr
Mission Viejo, CA 92692-5100
Phone (760) 899-8704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203002727 CA Practitioner - Physical Therapist in Private Practice 9133591977 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303164CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Watson Sports Performance & Rehabilitation Inc Orthopedic CurrentSince Dec 1, 2023 Accepting new patients
Evolution Physical Therapy, Inc Orthopedic CurrentSince Oct 10, 2025 Accepting new patients

Locations

850 W 18th St
Ste D
Costa Mesa, CA 92627
Phone (424) 297-3600

322 Culver Blvd
Playa del Rey, CA 90293
Phone (310) 461-8712

1000 Calle Amanecer
San Clemente, CA 92673
Phone (949) 481-9113

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": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1740999739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 REGALO DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925100",
            "telephone_number": "760-899-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32261 CAMINO CAPISTRANO STE D101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753747",
            "telephone_number": "949-429-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "303164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.