Mayra Carolina Hernandez, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN 192866 Issued in CA

Practice address

12441 Squaw Valley LN
Victorville, CA 92395-8843

Phone

(760) 912-0096

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1154469344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12441 SQUAW VALLEY LN",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958843",
            "telephone_number": "760-912-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12441 SQUAW VALLEY LN",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958843",
            "telephone_number": "760-912-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MAYRA",
        "middle_name": "CAROLINA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 192866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "RVN003720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gilbert Hernandez, CCAPP-II ADC
• Idalia Hernandez
• Jessica Hernandez, LMFT
• Joseph S Hernandez, RPH
• Linda Hernandez
• Mirella Hernandez
• Natalie Hernandez
• Robert Armando Hernandez Jr.
• Sonya Hernandez, CADC-II
• Yesenia Hernandez, PA-C

• Licensed Vocational Nurse in Victorville, CA
• Providers in Victorville, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.