Mauricio Hernandez, RCP, RRT

Primary specialty

Pulmonary Function Technologist Registered Respiratory TherapistTaxonomy code 2279P1006X

License

28391 Issued in CA

Practice address

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

Phone

(562) 283-8486

Fax

(562) 352-2146

NPI assigned

Sep 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• RJM Diagnostics LLC

  • Physiological Laboratory
  • Long Beach, CA
  • NPI 1598363335

  Pulmonary Function Technologist

  NPD Authorized official

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1942816509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 SANTA ANITA AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633425",
            "telephone_number": "626-698-8613"
        },
        {
            "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": "562-283-8486",
            "fax_number": "562-352-2146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9910 Santa Anita Ave",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917633425",
            "country_code": "US",
            "telephone_number": "626-698-8613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MAURICIO",
        "credential": "RCP, RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
            "state": "CA",
            "license": "28391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourdes Judith Hernandez
• Marilyn Hernandez
• Marisela Hernandez, MSW 89932
• Mariza Hernandez
• Mary Grace Armas Hernandez
• Maya'Nicole Camille Hernandez, AMFT
• Mayra Hernandez
• Michael Hernandez
• Michael Anthony Hernandez
• Miguel Hernandez

• Registered Respiratory Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Registered Respiratory Therapist in California

• 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.