Amalia Wladyslawa Hernandez, EDD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP20568 Issued in CA

Practice address

18111 Nordhoff St
Northridge, CA 91330-8200

Phone

(818) 677-2856

NPI assigned

Jun 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1972162279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 MARTINDALE AVE",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522249",
            "telephone_number": "818-653-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 NORDHOFF ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913308200",
            "telephone_number": "818-677-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "AMALIA",
        "middle_name": "WLADYSLAWA",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP20568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S Hepfer, MD
• Hera Hospice, Inc.
• Shea Herald
• Heritage Provider Network, Inc.
• Melba L Hernandez Jovel, BA
• Ana Hernandez
• Ana Victoria Hernandez
• Anissa Hernandez, MS
• Delfino Flores Hernandez
• Elena Hernandez

• Speech-Language Pathologist in Northridge, CA
• Providers in Northridge, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.