Active NPI
Ricardo Hernandez Jr., PT DPT
- Orthopedic Physical Therapist
- San Juan Capistrano, CA
National Provider Identifier
1740999739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 303164
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303164 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watson Sports Performance & Rehabilitation Inc | Orthopedic | Current | Accepting new patients |
| Evolution Physical Therapy, Inc | Orthopedic | Current | 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.
-
- Occupational Therapist
- San Clemente, CA
- NPI 1437732120
Orthopedic
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.