Active NPI
Ana Maria Hernandez, D.D.S.
- Dentist
- Ventura, CA
National Provider Identifier
1164435558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30402
- Practice address
- 2100 Goodyear Ave Ste 11
Ventura, CA 93003-7749 - Phone
- (805) 985-1159
- Fax
- (805) 985-9344
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 30402 | CA | Primary |
Addresses
Primary practice location
2100 Goodyear Ave Ste 11
Ventura, CA 93003-7749
Mailing address
2100 Goodyear Ave Ste 11
Ventura, CA 93003-7749
Phone (805) 985-1159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30402 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302307200000",
"number": "1164435558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 GOODYEAR AVE STE 11",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037749",
"telephone_number": "805-985-1159",
"fax_number": "805-985-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 GOODYEAR AVE STE 11",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037749",
"telephone_number": "805-985-1159",
"fax_number": "805-985-9344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ANA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2011-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "30402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.