Irvin Hernandez

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA65367 Issued in CA

Practice address

841 Sterling Pkwy
Lincoln, CA 95648-7324

Phone

(916) 645-3388

NPI assigned

Apr 15, 2024

Last updated

Nov 14, 2024By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Lincoln Medical Associates, Inc.

  • Internal Medicine Physician
  • Lincoln, CA
  • NPI 1003133885
  Medicare reassignment

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1255185385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BICENTENNIAL CIR APT 43",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262710",
            "telephone_number": "831-402-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 STERLING PKWY",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956487324",
            "telephone_number": "916-645-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Bicentennial Cir Apt 43",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958262710",
            "country_code": "US",
            "telephone_number": "831-402-1025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "IRVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Harrington
• Thomas S Harte, CADCII
• Healthhub LLC
• Colleen Patricia Henely, SUDCC II 9259
• Irene Bailon Hermo, DDS
• Bradley Carl Herrgord, D.C.
• Joseph D Hobbs, P.A.-C
• Johnathan Charles Hodge
• Lezley Holmes, LEP
• Horizon Charter Schools

• Physician Assistant in Lincoln, CA
• Providers in Lincoln, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.