Individual provider Active NPI

Ricardo Hernandez, CERTIFIED COUNSELOR

  • Counselor
  • Whittier, CA
National Provider Identifier
1811455132
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
DOMESTICVIOLENCE Issued in CA
Practice address
7336 Painter Ave
Whittier, CA 90602-1853
Phone
(626) 689-0454
Fax
(562) 252-0561
NPI assigned
Mar 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CP40793C1009 CA
Counselor 101Y00000X 65387 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X H0905301608 CA
Counselor 101Y00000X DOMESTICVIOLENCE CA Primary

Addresses

Primary practice location

7336 Painter Ave
Whittier, CA 90602-1853

Mailing address

7336 Painter Ave
Whittier, CA 90602-1853
Phone (626) 689-0454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
65387CAMDCounselor
CP40793C1009CAMDCounselor
DOMESTICVIOLENCECAMDCounselor
H0905301608CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1811455132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7336 PAINTER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021853",
            "telephone_number": "626-689-0454",
            "fax_number": "562-252-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7336 PAINTER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021853",
            "telephone_number": "626-689-0454",
            "fax_number": "562-252-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RICARDO",
        "credential": "CERTIFIED COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "CP40793C1009",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "65387",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "H0905301608",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "DOMESTICVIOLENCE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.