Celeste Renee Hernandez, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT307617 Issued in CA

Practice address

7561 Center Ave Ste 45
Huntington Beach, CA 92647-3058

Phone

(209) 423-0401

NPI assigned

Jan 8, 2016

Last updated

Oct 27, 2026By the provider in NPPES

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stockton Sports Physical Therapy

  • Physical Therapist
  • Lodi, CA
  • NPI 1265330500
  NPD (past) Authorized official
• Leo L Fong Corporation

  dba Central Valley Vein and Wound Center

  • Vascular Surgery Physician
  • Clovis, CA
  • NPI 1235609413
  NPD

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793059200000",
    "number": "1972969764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 W LOCKEFORD ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952402081",
            "telephone_number": "714-661-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7561 CENTER AVE STE 45",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473058",
            "telephone_number": "209-423-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CELESTE",
        "middle_name": "RENEE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-08",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT307617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Monique Hernandez, LCSW109219
• Brian Ciro Hernandez
• Camila L Hernandez
• Carolyn Hernandez
• Casey Hernandez
• Elvira Hernandez
• Jazmin Hernandez
• Katherine Hernandez
• Nancy Hernandez
• Randall Robert Hernandez, D.C.

• Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.