Organization Active NPI

Ruth Hernandez M.D Medical Professional Corporation

  • Family Medicine Physician
  • Victorville, CA
National Provider Identifier
1275906471
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A87453 Issued in CA
Legal business name
RUTH HERNANDEZ M.D MEDICAL PROFESSIONAL CORPORATION
Practice address
16498 Victor St
Victorville, CA 92395
Phone
(760) 243-3033
Fax
(760) 243-3633
NPI assigned
Nov 10, 2015
Organization subpart
Yes
Parent organization
RUTH HERNANDEZ PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Mrs. Ruth Hernandez, M.D.
Title
Doctor
Phone
(951) 531-7242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A87453 CA Primary

Addresses

Primary practice location

16498 Victor St
Victorville, CA 92395

Mailing address

16498 Victor St
Victorville, CA 92395
Phone (760) 243-3033

National Provider Directory

National Provider Directory
Part of
Ruth Hernandez MD Medical Professional Corporation

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1275906471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16498 VICTOR ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-243-3033",
            "fax_number": "760-243-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16498 VICTOR ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-243-3033",
            "fax_number": "760-243-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH HERNANDEZ M.D MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUTH HERNANDEZ PROFESSIONAL CORPORATION",
        "enumeration_date": "2015-11-10",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "951-531-7242",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.