Vida B Hernandez, OTRL, AD SW MOD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

AA095141 Issued in CA

Practice address

5601 De Soto Ave
OT Department
Woodland Hills, CA 91367-6701

Phone

(818) 719-2949

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801012000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9246 ALDEA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252515",
            "telephone_number": "818-618-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 DE SOTO AVE",
            "address_2": "OT DEPARTMENT",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676701",
            "telephone_number": "818-719-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "VIDA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "OTRL, AD SW MOD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "AA095141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalia Hernandez
• Sabina Erika Hernandez
• Stephanie Thelma Hernandez
• Valerie Rene Hernandez
• Vanessa Hernandez, M.S., CCC-SLP
• Rebecca Michelle Herrarte
• Chrisevelyn Herrera
• Evelyn Herrera
• Guadalupe Herrera
• Jazmine Herrera

• Occupational Therapist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.