Active NPI
Dahlia Hernandez, OTD, OTR/L
- Occupational Therapist
- Mission Viejo, CA
National Provider Identifier
1912694118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22698
- Practice address
- 27700 Medical Center Rd FL 5
Mission Viejo, CA 92691-6426 - Phone
- (949) 347-8400
- NPI assigned
- Apr 19, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 22698 | CA | Primary |
Addresses
Primary practice location
27700 Medical Center Rd FL 5
Mission Viejo, CA 92691-6426
Mailing address
2305 Seasons Rd
Oceanside, CA 92056-3558
Phone (707) 495-5998
Other practice location 1
2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (442) 281-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22698 | Other | CA | CALIFORNIA BOARD OF OCCUPATIONAL THERAPY |
| 459025 | Other | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1912694118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 SEASONS RD",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920563558",
"telephone_number": "707-495-5998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27700 MEDICAL CENTER RD FL 5",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916426",
"telephone_number": "949-347-8400"
}
],
"practiceLocations": [
{
"address_1": "2185 Citracado Pkwy",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920294159",
"country_code": "US",
"telephone_number": "442-281-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "DAHLIA",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-19",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "22698",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
"identifier": "22698",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
"identifier": "459025",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.