Individual provider Active NPI

Ernesto Hernandez

  • Psychiatric/Mental Health Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1346985777
Registry record updated Apr 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95020128 Issued in CA
Practice address
10010 Krista Vineyard Way
Bakersfield, CA 93306-8391
Phone
(661) 638-3090
NPI assigned
Apr 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95020128 CA Primary

Addresses

Primary practice location

10010 Krista Vineyard Way
Bakersfield, CA 93306-8391

Mailing address

10010 Krista Vineyard Way
Bakersfield, CA 93306-8391
Phone (661) 638-3090

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
I20231117001464 CA Practitioner - Nurse Practitioner 3173970852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infusion and Clinical Services IncGroup PAC ID 5890934426, 39 clinicians

Practice addresses (Care Compare)

5401 White LN
Bakersfield, CA 93309-6279
Phone (661) 396-7100

Hospital & facility affiliations

  • Good Samaritan Hospital, LP Hospital, Bakersfield, CA, CCN 050257

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion and Clinical Services,Inc CurrentSince Nov 1, 2023 Accepting new patients
Infusion and Clinical Services, Inc. Current Accepting new patients
Infusion and Clinical Services, Inc CurrentSince Nov 1, 2023 Accepting new patients
Infusion and Clinical Services, Inc. Past Accepting new patients

Locations

1311 Columbus St
Bakersfield, CA 93305
Phone (661) 379-6061

901 Olive Dr
Bakersfield, CA 93308
Phone (661) 215-7500

4043 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 396-7100

5401 White Ln
Bakersfield, CA 93309
Phone (661) 396-7100

611 Airport Dr
Bakersfield, CA 93308
Phone (661) 556-4777

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1346985777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 KRISTA VINEYARD WAY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933068391",
            "telephone_number": "661-638-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 KRISTA VINEYARD WAY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933068391",
            "telephone_number": "661-638-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ERNESTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-30",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95020128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.