Individual provider Active NPI

Miriam Zarahy Hernandez, PA-C

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1144594367
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA22133 Issued in CA
Practice address
4813 Coffee Rd
Suite 200
Bakersfield, CA 93308-9435
Phone
(661) 664-0252
Fax
(661) 664-2717
NPI assigned
Mar 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA22133 CA Primary

Addresses

Primary practice location

4813 Coffee Rd
Suite 200
Bakersfield, CA 93308-9435

Mailing address

721 S Garfield Ave
Apt F
Monterey Park, CA 91754-3947
Phone (626) 506-7298

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
I20130628000178 CA Practitioner - Physician Assistant 9335389170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centric HealthGroup PAC ID 8729009030, 66 clinicians

Practice addresses (Care Compare)

2901 Sillect Ave
Bakersfield, CA 93308-6372

4813 Coffee Rd
Suite 200
Bakersfield, CA 93308-9473
Phone (661) 664-0252

Hospital & facility affiliations

  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
22133CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Urgent Care Inc. CurrentSince Feb 1, 2023 Accepting new patients
Centric Health Past Accepting new patients

Locations

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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 1

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": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1144594367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S GARFIELD AVE",
            "address_2": "APT F",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917543947",
            "telephone_number": "626-506-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 COFFEE RD",
            "address_2": "SUITE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933089435",
            "telephone_number": "661-664-0252",
            "fax_number": "661-664-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MIRIAM",
        "middle_name": "ZARAHY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.