Edward P. & Diane M. Hernandez

A Medicare group practice based in La Puente, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3870536303), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3870536303The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Edward P. and Diane M. HernandezName in Care Compare
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
1
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
2In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20050606001144 CA Part B Supplier - Clinic/Group Practice 1568671774

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 10

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (3).

Sources for this page