Organization Active NPI

Oscar Hernandez MD Medical Corporation

  • Family Medicine Physician
  • Porterville, CA
National Provider Identifier
1124176482
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OSCAR HERNANDEZ MD MEDICAL CORPORATION
Practice address
139 E Putnam Ave
Porterville, CA 93257-3832
Phone
(559) 784-2176
Fax
(559) 784-2652
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Rita Nye
Title
Billing Super
Phone
(559) 783-1181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

139 E Putnam Ave
Porterville, CA 93257-3832

Mailing address

139 E Putnam Ave
Porterville, CA 93257-3832
Phone (559) 784-2176

Other identifiers 1

IdentifierTypeStateIssuer
00G721010MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100211000296 CA Part B Supplier - Clinic/Group Practice 0941343073 Receives reassigned benefits from 1 practitioner
Practice locations: Porterville, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0909242Oscar a Hernandez MD139 E Putnam Ave, Porterville, CA 93257Certificate of waiverNov 28, 2027

National Provider Directory

National Provider Directory

Locations

139 E Putnam Ave
Porterville, CA 93257
Phone (559) 359-0010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1124176482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573832",
            "telephone_number": "559-784-2176",
            "fax_number": "559-784-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573832",
            "telephone_number": "559-784-2176",
            "fax_number": "559-784-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR HERNANDEZ MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "NYE",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "BILLING SUPER",
        "authorized_official_telephone_number": "559-783-1181"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G721010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.