Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy D Hernandez

Individual provider Physical Therapy Assistant · NPI 1568281228

Stacy D Hernandez is a Physical Therapy Assistant in Tustin, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

17542 17th St Ste 300
Tustin, CA 92780-1960
Phone: (714) 734-4500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 49723 (CA)

Record details

NPI number1568281228
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 8, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address988 S Citron St, Anaheim, CA 92805-5575

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