Individual provider Active NPI

Lucas S. Hernandez, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1962672709
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34529 Issued in CA
Practice address
2526 Hyperion Ave Ste 3
Los Angeles, CA 90027-3352
Phone
(661) 313-1056
Fax
(661) 313-1056
NPI assigned
Mar 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34529 CA Primary

Addresses

Primary practice location

2526 Hyperion Ave Ste 3
Los Angeles, CA 90027-3352

Mailing address

2526 Hyperion Ave Ste 3
Los Angeles, CA 90027-3352
Phone (661) 313-1056

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34529CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas Hernandez PT Inc Physical Therapist CurrentSince Feb 6, 2022 Accepting new patients
Progressive Physical Therapy Inc Physical Therapist PastSince Apr 1, 1999 Accepting new patients

Locations

2526 Hyperion Ave
Ste 3
Los Angeles, CA 90027
Phone (424) 333-1685

Organizations & group practices 2

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": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1962672709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 HYPERION AVE STE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273352",
            "telephone_number": "661-313-1056",
            "fax_number": "661-313-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 HYPERION AVE STE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273352",
            "telephone_number": "661-313-1056",
            "fax_number": "661-313-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LUCAS",
        "middle_name": "S.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34529",
            "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 4, 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.