Individual provider Active NPI

Pamela Hernandez, PA-C

  • Physician Assistant
  • Reedley, CA
National Provider Identifier
1063463727
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15761 Issued in CA
Practice address
1311 11TH St
Reedley, CA 93654-2926
Phone
(559) 638-3227
Fax
(559) 638-3799
NPI assigned
May 15, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 PA15761 CA Primary

Addresses

Primary practice location

1311 11TH St
Reedley, CA 93654-2926

Mailing address

1479 W Lacey Blvd
Hanford, CA 93230-5906
Phone (559) 583-4617

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
I20180508002404 CA Order and Referring Only - Physician Assistant 4183988629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA15761CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063463727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305906",
            "telephone_number": "559-583-4617",
            "fax_number": "559-583-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 11TH ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542926",
            "telephone_number": "559-638-3227",
            "fax_number": "559-638-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "PAMELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedley, CA

Sources for this page

Verify at the official NPI Registry.