Active NPI
Rossana Del Carmen Hernandez
- Addiction (Substance Use Disorder) Counselor
- Los Angeles, CA
National Provider Identifier
1891105201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C14861214
- Practice address
- 360 S Westlake Ave
Los Angeles, CA 90057-2906 - Phone
- (213) 483-9201
- Fax
- (213) 382-0136
- NPI assigned
- May 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | C14861214 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C14861214 | CA | Primary |
Addresses
Primary practice location
360 S Westlake Ave
Los Angeles, CA 90057-2906
Mailing address
360 S Westlake Ave
Los Angeles, CA 90057-2906
Phone (213) 483-9201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02768010 | Other | CA | DRUG MEDI-CAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C14861214 | CA | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1891105201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 S WESTLAKE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572906",
"telephone_number": "213-483-9201",
"fax_number": "213-382-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 S WESTLAKE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572906",
"telephone_number": "213-483-9201",
"fax_number": "213-382-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ROSSANA",
"middle_name": "DEL CARMEN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-07",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "C14861214",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "C14861214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRUG MEDI-CAL",
"identifier": "02768010",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.