Individual provider Active NPI

Jose G Hernandez, MD

  • Pediatrics Physician
  • Delano, CA
National Provider Identifier
1174677207
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A85712 Issued in CA
Practice address
1401 Garces Hwy
Delano, CA 93215-3660
Phone
(831) 245-9953
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A85712 CA Primary

Addresses

Primary practice location

1401 Garces Hwy
Delano, CA 93215-3660

Mailing address

1401 Garces Hwy
Delano, CA 93215-3660
Phone (831) 245-9953

Other practice location 1

300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 652-6000

Other identifiers 1

IdentifierTypeStateIssuer
A85712OtherCALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jose.hernandez@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GU2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111121000810 CA Practitioner - Pediatric Medicine 3476570474 Reassigns benefits to 2 organizations
I20180703002271 GU Practitioner - Pediatric Medicine 3476570474 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A85712CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Memorial Hospital CurrentSince Mar 4, 2020 Accepting new patients
County of Ventura CurrentSince Jul 1, 2025 Accepting new patients
Guam Memorial Hospital CurrentSince Mar 4, 2020 Accepting new patients
County of Ventura Current Accepting new patients
Martin Luther King Jr Community Medical Foundation Pediatrics CurrentSince Apr 1, 2025 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince May 14, 2018 Accepting new patients
County of Ventura CurrentSince Jul 1, 2025 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
VSC Hbo, LLC Past Accepting new patients
Pediatric Hospitalists of America Past Accepting new patients
Pediatric Subspecialty Faculty, Inc. Pediatrics Past Accepting new patients

Locations

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

Interoperability endpoints

  • Direct secure messaging: jose.hernandez@ventura.cernerdirect.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1174677207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GARCES HWY",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153660",
            "telephone_number": "831-245-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GARCES HWY",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153660",
            "telephone_number": "831-245-9953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hillmont Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031651",
            "country_code": "US",
            "telephone_number": "805-652-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A85712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A85712",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.hernandez@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "300 Hillmont Ave",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930031651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

Verify at the official NPI Registry.