Individual provider Active NPI

Yoel Eduardo Barone Hernandez, IDC

  • Independent Duty Corpsman
  • San Diego, CA
National Provider Identifier
1205279064
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
2642 Trident Way
BLDG 616
San Diego, CA 92155-5492
Phone
(619) 537-3756
Fax
(619) 437-5120
NPI assigned
Apr 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X CA Primary

Addresses

Primary practice location

2642 Trident Way
BLDG 616
San Diego, CA 92155-5492

Mailing address

2642 Trident Way
BLDG 616
San Diego, CA 92155-5492
Phone (619) 537-3756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1205279064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 TRIDENT WAY",
            "address_2": "BLDG 616",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555492",
            "telephone_number": "619-537-3756",
            "fax_number": "619-437-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 TRIDENT WAY",
            "address_2": "BLDG 616",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555492",
            "telephone_number": "619-537-3756",
            "fax_number": "619-437-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARONE HERNANDEZ",
        "first_name": "YOEL",
        "middle_name": "EDUARDO",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.