Individual provider Active NPI

Rodrigo Hernandez, RCP, RRT

  • Registered Respiratory Therapist
  • Long Beach, CA
National Provider Identifier
1811572795
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
30706 Issued in CA
Practice address
1045 Atlantic Ave Ste 616
Long Beach, CA 90813-3411
Phone
(626) 698-8613
NPI assigned
Mar 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 30706 CA Primary

Addresses

Primary practice location

1045 Atlantic Ave Ste 616
Long Beach, CA 90813-3411

Mailing address

1457 S Glendora Ave
Glendora, CA 91740-5661
Phone (626) 720-7653

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
30706CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
RJM Diagnostics LLC Current Accepting new patients

Locations

1045 Atlantic Ave
Ste 616
Long Beach, CA 90813
Phone (562) 435-4473

Organizations & group practices 1

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": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1811572795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 S GLENDORA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405661",
            "telephone_number": "626-720-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 616",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133411",
            "telephone_number": "626-698-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RODRIGO",
        "credential": "RCP, RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-12",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "30706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.