Individual provider Active NPI

Flor Berenice Juarez Hernandez, FNP

  • Family Nurse Practitioner
  • Antioch, CA
National Provider Identifier
1023824034
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030010 Issued in CA
Practice address
3505 Lone Tree Way Ste 1
Antioch, CA 94509-6067
Phone
(925) 457-4276
NPI assigned
Dec 4, 2024
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030010 CA Primary

Addresses

Primary practice location

3505 Lone Tree Way Ste 1
Antioch, CA 94509-6067

Mailing address

525 S 19TH St
Richmond, CA 94804-3803
Phone (510) 837-7436

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
I20241231001310 CA Practitioner - Nurse Practitioner 5294262333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Brighter BeginningsGroup PAC ID 8820274699, 12 clinicians

Practice addresses (Care Compare)

2727 Macdonald Ave
Richmond, CA 94804-3006
Phone (510) 236-6990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95030010CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Beginnings CurrentSince Dec 2, 2024 Accepting new patients
Brighter Beginnings CurrentSince Dec 2, 2024 Accepting new patients

Locations

3505 Lone Tree Way
Ste 1
Antioch, CA 94509
Phone (925) 303-4780

2727 Macdonald Ave
Richmond, CA 94804
Phone (510) 213-6681

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJBCD/Endpoint/JJJBCD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1023824034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S 19TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948043803",
            "telephone_number": "510-837-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 LONE TREE WAY STE 1",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096067",
            "telephone_number": "925-457-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ HERNANDEZ",
        "first_name": "FLOR",
        "middle_name": "BERENICE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

Verify at the official NPI Registry.