Active NPI
Raul Manuel Hernandez, M.D.
- Pediatrics Physician
- Rialto, CA
National Provider Identifier
1114016458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A50128
- Practice address
- 851 W Foothill Blvd Ste 101
Rialto, CA 92376-4731 - Phone
- (909) 873-3876
- Fax
- (909) 873-3875
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A50128 | CA | Primary |
Addresses
Primary practice location
851 W Foothill Blvd Ste 101
Rialto, CA 92376-4731
Mailing address
851 W Foothill Blvd Ste 101
Rialto, CA 92376-4731
Phone (909) 873-3876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A501280 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A50128 | CA | MD | Pediatrics Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1114016458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 W FOOTHILL BLVD STE 101",
"city": "RIALTO",
"state": "CA",
"postal_code": "923764731",
"telephone_number": "909-873-3876",
"fax_number": "909-873-3875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 W FOOTHILL BLVD STE 101",
"city": "RIALTO",
"state": "CA",
"postal_code": "923764731",
"telephone_number": "909-873-3876",
"fax_number": "909-873-3875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "RAUL",
"middle_name": "MANUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A50128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A501280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.