Anthony Kieu Hernon

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

7120 Issued in CA

Practice address

11201 Benton St
Loma Linda, CA 92357-1000

Phone

(714) 837-3030

NPI assigned

Apr 3, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1215789151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 MOUNTAIN VIEW AVE APT H",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738433",
            "telephone_number": "714-837-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 BENTON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923571000",
            "telephone_number": "714-837-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNON",
        "first_name": "ANTHONY",
        "middle_name": "KIEU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "7120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Karl Lynn Hernandez
• Preciosa Angelica Hernandez
• Salvador Garza Hernandez
• Wilhelmina Hernandez, M.D.
• Esther Paduga Hernando
• Christina Herrera
• Diana Herrera, MSW, CSW
• Ivan Herrera, DO
• Tanya Marie Herrera, M.D.
• Daniel William Herrmann, CRNA

• Foot & Ankle Surgery Podiatrist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.

Verify at the official NPI Registry.