Individual provider Active NPI

Beverly Karina Hernandez Navarro

  • Physician Assistant
  • Bell Gardens, CA
National Provider Identifier
1013692631
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63777 Issued in CA
Practice address
6119 Agra St
Bell Gardens, CA 90201-1705
Phone
(562) 776-5090
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA63777 CA Primary

Addresses

Primary practice location

6119 Agra St
Bell Gardens, CA 90201-1705

Mailing address

15003 Domart Ave
Norwalk, CA 90650-5305
Phone (562) 528-4483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209003168 CA Order and Referring Only - Physician Assistant 9931542560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63777CAMDPharmacist
PA63777CAMDPhysician Assistant

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: beverly.hernandez.p1@direct.fhccgla.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1013692631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15003 DOMART AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906505305",
            "telephone_number": "562-528-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 AGRA ST",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902011705",
            "telephone_number": "562-776-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ NAVARRO",
        "first_name": "BEVERLY",
        "middle_name": "KARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-12-12",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bell Gardens, CA

Sources for this page

Verify at the official NPI Registry.