Individual provider Active NPI

Carlos Hernan Bermudez, NP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1346791852
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95005040 Issued in CA
Practice address
356 7TH St
San Francisco, CA 94103-4030
Phone
(628) 217-6677
Fax
(628) 217-6610
NPI assigned
Oct 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95005040 CA Primary
Primary Care Nurse Practitioner 363LP2300X 95005040 CA
Adult Health Nurse Practitioner 363LA2200X 95005040 CA

Addresses

Primary practice location

356 7TH St
San Francisco, CA 94103-4030

Mailing address

356 7TH St
San Francisco, CA 94103-4030
Phone (628) 217-6677

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161206002038 CA Practitioner - Nurse Practitioner 4385924430 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95005040CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asian and Pacific Islander Wellness Center, Inc. CurrentSince Nov 21, 2016 Accepting new patients
Asian and Pacific Islander Wellness Center, Inc. CurrentSince Nov 21, 2016 Accepting new patients
Stanford Health Care Past Accepting new patients

Locations

726 Polk St
Fl 4
San Francisco, CA 94109
Phone (415) 292-3400

730 Polk St
Fl 4
San Francisco, CA 94109
Phone (415) 292-3400

Organizations & group practices 3

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1346791852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 7TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034030",
            "telephone_number": "628-217-6677",
            "fax_number": "626-217-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 7TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034030",
            "telephone_number": "628-217-6677",
            "fax_number": "628-217-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "CARLOS",
        "middle_name": "HERNAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95005040",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95005040",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95005040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.