Valerie Hernandez-Blouin, DDS, MSD, RDH

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

106270 Issued in CA

Practice address

4333 Palm Ave Ste C
La Mesa, CA 91941-6529

Phone

(619) 760-2902

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1366221897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919080295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 PALM AVE STE C",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416529",
            "telephone_number": "619-760-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-BLOUIN",
        "first_name": "VALERIE",
        "credential": "DDS, MSD, RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "106270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Henning, RN
• Madison Danielle Henry, OTR/L
• Taylor Ann Henry, PHARMD
• Tiffany Nana Henze, MSOT, OTR/L
• Anahi Michelle Hernandez de la Cruz
• Amanda Priscilla Hernandez
• Jerry Hernandez, D.D.S.
• June Cho Hernandez, PHARM.D.
• Robert Hernandez, B.A.
• Eloisa Antonia Herrera, CNS, RN

• Orthodontics and Dentofacial Orthopedics Dentistry in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.