Individual provider Active NPI

Francisco Antonio Hernandez, MD

  • Surgery Physician
  • Bonita, CA
National Provider Identifier
1114907706
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A36108 Issued in CA
Practice address
4562 Paseo de la Vista
Bonita, CA 91902-1255
Phone
(619) 997-4410
Fax
(619) 472-0386
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A36108 CA Primary

Addresses

Primary practice location

4562 Paseo de la Vista
Bonita, CA 91902-1255

Mailing address

4562 Paseo de la Vista
Bonita, CA 91902-1255
Phone (619) 997-4410

Other identifiers 2

IdentifierTypeStateIssuer
00A36108MedicaidCA
GR0062500OtherCAMEDICAID GRP#

Other names 1

  • Frank A Hernandez Professional name

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
I20090706000572 CA Practitioner - General Surgery 6507816055 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A36108CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health CurrentSince Sep 28, 2009 Accepting new patients
Scripps Health CurrentSince Sep 28, 2009 Accepting new patients
Coast Surgical Group, a Medical Corporation CurrentSince Aug 1, 1994 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Aug 31, 2010 Accepting new patients
Scripps Health Current Accepting new patients

Locations

786 Third Ave
Ste B
Chula Vista, CA 91910
Phone (619) 425-0797

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Interoperability endpoints

  • Direct secure messaging: franciscohernandez@csg.allscriptsdirect.net

Organizations & group practices 5

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1114907706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4562 PASEO DE LA VISTA",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021255",
            "telephone_number": "619-997-4410",
            "fax_number": "619-472-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4562 PASEO DE LA VISTA",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021255",
            "telephone_number": "619-997-4410",
            "fax_number": "619-472-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "FRANCISCO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A36108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A36108",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GRP#",
            "identifier": "GR0062500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANK",
            "last_name": "HERNANDEZ",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bonita, CA

Sources for this page

Verify at the official NPI Registry.