Active NPI
Veronica Luisa Hernandez
- Dental Assistant
- Phillips Ranch, CA
National Provider Identifier
1033409875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 37282
- Practice address
- 22 Edgebrook Dr
Phillips Ranch, CA 91766-4767 - Phone
- (909) 623-3505
- NPI assigned
- Apr 13, 2011
- Last updated
- Apr 13, 2011
- 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 Assistant | 126800000X | 37282 | CA | Primary |
Addresses
Primary practice location
22 Edgebrook Dr
Phillips Ranch, CA 91766-4767
Mailing address
22 Edgebrook Dr
Phillips Ranch, CA 91766-4767
Phone (909) 623-3505
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 |
|---|---|---|---|
| 37282 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1033409875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 EDGEBROOK DR",
"city": "PHILLIPS RANCH",
"state": "CA",
"postal_code": "917664767",
"telephone_number": "909-623-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 EDGEBROOK DR",
"city": "PHILLIPS RANCH",
"state": "CA",
"postal_code": "917664767",
"telephone_number": "909-623-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "VERONICA",
"middle_name": "LUISA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-13",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "37282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phillips Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.