Individual provider Active NPI

John Manuel Hernandez, MD

  • Internal Medicine Physician
  • Montebello, CA
National Provider Identifier
1073683546
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A42641 Issued in CA
Practice address
526 N Montebello Blvd
Montebello, CA 90640
Phone
(323) 726-1109
Fax
(323) 278-1162
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A42641 CA Primary

Addresses

Primary practice location

526 N Montebello Blvd
Montebello, CA 90640

Mailing address

10820 Beverly Blvd
Suite a-5 PMB 157
Whittier, CA 90601-2570

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210000732 CA Practitioner - Internal Medicine 4183518277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1417 W Beverly Blvd
Suite 101
Montebello, CA 90640-4125
Phone (323) 726-1109

Hospital & facility affiliations

  • S N E Home Health Care Services Home health agency, Whittier, CA, CCN 553119
  • Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A42641CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seracollection Research Services CurrentSince Nov 21, 2023 Accepting new patients
John M Hernandez, MD Inc Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients

Locations

1417 W Beverly Blvd
Ste 101
Montebello, CA 90640
Phone (323) 726-1109

3317 W Beverly Blvd
Ste 200
Montebello, CA 90640
Phone (323) 621-6700

10820 Beverly Blvd
Ste A5
Whittier, CA 90601
Phone (714) 905-9368

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1073683546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 BEVERLY BLVD",
            "address_2": "SUITE A-5 PMB 157",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906012570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 N MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "323-726-1109",
            "fax_number": "323-278-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JOHN",
        "middle_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A42641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.