Guadalupe H Hernandez
Individual provider Active NPI Technician · Layayette, CA
NPI 1356987010 · NPPES record last updated Nov 18, 2019
Key facts
- NPI
- 1356987010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Technician 374700000X
- Practice address
- 3650 Mount Diablo Blvd
Layayette, CA 94501 - Phone
- (510) 219-9589
- NPI assigned
- Nov 18, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | Yes |
Addresses
Primary practice location
3650 Mount Diablo Blvd
Layayette, CA 94501
Mailing address
1110 Park St Apt 18
Alameda, CA 94501-5201
Phone (510) 833-1458
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.