Individual provider Active NPI

Nadeshda Hernandez, MFTI

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1932408580
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
89895 Issued in CA
Practice address
10221 Compton Ave
104
Los Angeles, CA 90002-2802
Phone
(310) 783-4677
Fax
(323) 566-1638
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF65333 CA
Marriage & Family Therapist 106H00000X 89895 CA Primary

Addresses

Primary practice location

10221 Compton Ave
104
Los Angeles, CA 90002-2802

Mailing address

1232 E Wardlow Rd
Long Beach, CA 90807-4833
Phone (909) 241-8790

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
IMF65333CAMDMarriage & Family Therapist
89895CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Allow Your Well-Being Group Practice LLC Marriage & Family Therapist CurrentSince Mar 7, 2021 Accepting new patients

Locations

1232 E Wardlow Rd
Long Beach, CA 90807
Phone (562) 205-8846

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1932408580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074833",
            "telephone_number": "909-241-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 COMPTON AVE",
            "address_2": "104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900022802",
            "telephone_number": "310-783-4677",
            "fax_number": "323-566-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "NADESHDA",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF65333",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "89895",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 22, 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.