Individual provider Active NPI

Cesar J. Hernandez, MD

  • Obstetrics Physician
  • Albuquerque, NM
National Provider Identifier
1356436539
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
20020272 Issued in NM
Practice address
1010 Lead Ave SE Ste 4
Albuquerque, NM 87106-5214
Phone
(505) 842-5902
Fax
(505) 242-6313
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 20020272 NM Primary

Addresses

Primary practice location

1010 Lead Ave SE Ste 4
Albuquerque, NM 87106-5214

Mailing address

1010 Lead Ave SE Ste 4
Albuquerque, NM 87106-5214
Phone (505) 842-5902

Other identifiers 5

IdentifierTypeStateIssuer
1063439800OtherNMNPI GROUP
OONM001009OtherNMBCBS
200521050OtherNMMEDICARE GROUP
95822739OtherNMMEDICAID GROUP
12134805MedicaidNM

Other names 1

  • C Javier Hernandez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060301000484 NM Practitioner - Obstetrics/Gynecology 8628084571 Reassigns benefits to 1 organization
I20220308002236 WY Practitioner - Obstetrics/Gynecology 8628084571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1180 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-8125

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20020272NMMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evanston Clinic Corp CurrentSince Jan 31, 2022 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Apr 7, 2025 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Jan 1, 2018 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Jan 1, 2018 Accepting new patients
Memorial Hospital of Sweetwater County Past Accepting new patients
Albuquerque Women'S Health, PC PastSince Sep 1, 2006 Accepting new patients

Locations

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

10501 Golf Course Rd NW
Albuquerque, NM 87114
Phone (505) 727-2000

150 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 789-5080

196 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 783-8143

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125

Organizations & group practices 6

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1356436539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LEAD AVE SE STE 4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871065214",
            "telephone_number": "505-842-5902",
            "fax_number": "505-242-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LEAD AVE SE STE 4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871065214",
            "telephone_number": "505-842-5902",
            "fax_number": "505-242-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CESAR",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NM",
            "license": "20020272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1063439800",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OONM001009",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "200521050",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "95822739",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12134805",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C",
            "last_name": "HERNANDEZ",
            "middle_name": "JAVIER",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.