Individual provider Active NPI

Delia Yanira Hernandez, PA-C

  • Medical Physician Assistant
  • Modesto, CA
National Provider Identifier
1174606800
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 18613 Issued in CA
Practice address
1317 Oakdale Rd Ste 440
Modesto, CA 95355
Phone
(209) 522-3362
Fax
(209) 522-3363
NPI assigned
Oct 24, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 18613 CA Primary

Addresses

Primary practice location

1317 Oakdale Rd Ste 440
Modesto, CA 95355

Mailing address

1317 Oakdale Rd Ste 440
Modesto, CA 95355-3364
Phone (209) 522-3362

Other practice location 1

1114 6th St
Modesto, CA 95354-2203
Phone (209) 576-2845

Other identifiers 1

IdentifierTypeStateIssuer
PA 18613OtherCALICENSE

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
I20070711000605 CA Practitioner - Physician Assistant 1850491416 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18613CAMDAcupuncturist
PA 18613CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Jan 1, 2026 Accepting new patients
Golden Valley Health Centers CurrentSince Jan 1, 2026 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Family First Medical Care a Professional Corporation CurrentSince Aug 5, 2019 Accepting new patients
Community Medical Centers Inc CurrentSince Dec 27, 2016 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Community Medical Centers Inc CurrentSince Dec 27, 2016 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations (25 of 27)

1920 Memorial Dr
Ceres, CA 95307
Phone (209) 538-1096

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 826-1045

250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120

250 Northgate Dr
Ste 102
Manteca, CA 95336
Phone (209) 239-5299

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

857 W Childs Ave
Merced, CA 95341
Phone (209) 384-2706

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

1317 Oakdale Rd
Ste 440
Modesto, CA 95355
Phone (209) 522-3362

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1510 Florida Ave
Ste A
Modesto, CA 95350
Phone (209) 492-7150

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

401 Paradise Rd
Ste E102
Modesto, CA 95351
Phone (209) 558-4000

401 Paradise Rd
Ste E103
Modesto, CA 95351

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 628-4435

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

Interoperability endpoints

  • Direct secure messaging: delia.hernandezinactive.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: dhernandez18215@hpmg.direct-ci.net

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174606800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 OAKDALE RD STE 440",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553364",
            "telephone_number": "209-522-3362",
            "fax_number": "209-522-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 OAKDALE RD STE 440",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-522-3362",
            "fax_number": "209-522-3363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1114 6th St",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953542203",
            "country_code": "US",
            "telephone_number": "209-576-2845",
            "fax_number": "209-576-8842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DELIA",
        "middle_name": "YANIRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 18613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA 18613",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.