Active NPI
Katherine Hernandez, RDHAP
- Dental Hygienist
- Rancho Cucamonga, CA
National Provider Identifier
1013755859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- HAP1070
- Practice address
- 11799 Sebastian Way
Rancho Cucamonga, CA 91730-0708 - Phone
- (760) 912-0426
- NPI assigned
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | HAP1070 | CA | Primary |
Addresses
Primary practice location
11799 Sebastian Way
Rancho Cucamonga, CA 91730-0708
Mailing address
831 Mescal Dr
Barstow, CA 92311-5418
Phone (760) 912-0426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAP1070 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1013755859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 MESCAL DR",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923115418",
"telephone_number": "760-912-0426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11799 SEBASTIAN WAY",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300708",
"telephone_number": "760-912-0426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "KATHERINE",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "HAP1070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.