Individual provider Active NPI

Javier Antonio Hernandez, FNP

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1083969695
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22038 Issued in CA
Practice address
1611 1St St
Bakersfield, CA 93304-2901
Phone
(661) 336-5300
Fax
(661) 336-5303
NPI assigned
Jul 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 22038 CA Primary

Addresses

Primary practice location

1611 1St St
Bakersfield, CA 93304-2901

Mailing address

1611 1St St
Bakersfield, CA 93304-2901
Phone (661) 336-5300

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
I20120828000309 CA Practitioner - Nurse Practitioner 4183871023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1305 Bear Mountain Blvd
Arvin, CA 93203-1231
Phone (661) 854-3131

1611 1St St
Bakersfield, CA 93304-2901
Phone (661) 336-5300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22038CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Aug 1, 2012 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Aug 1, 2012 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

11905 Bolthouse Dr
Ste 500
Bakersfield, CA 93311

1611 1st St
Bakersfield, CA 93304
Phone (661) 336-5300

7800 Niles St
Bakersfield, CA 93306
Phone (661) 328-4284

815 Martin Luther King Jr Blvd
Bakersfield, CA 93307
Phone (661) 322-3905

301 Brundage Ln
Bakersfield, CA 93304
Phone (661) 323-6086

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jhernandez19122@clinicasierravista.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1083969695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 1ST ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042901",
            "telephone_number": "661-336-5300",
            "fax_number": "661-336-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 1ST ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042901",
            "telephone_number": "661-336-5300",
            "fax_number": "661-336-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JAVIER",
        "middle_name": "ANTONIO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.