Individual provider Active NPI

Luz Maria Hernandez, FNP

  • Family Nurse Practitioner
  • Vallejo, CA
National Provider Identifier
1407890320
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
507057 Issued in CA
Practice address
243 Georgia St
Suite B
Vallejo, CA 94590-5905
Phone
(707) 556-8100
Fax
(707) 556-8107
NPI assigned
Jun 15, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 507057 CA Primary

Addresses

Primary practice location

243 Georgia St
Suite B
Vallejo, CA 94590-5905

Mailing address

243 Georgia St
Suite B
Vallejo, CA 94590-5905
Phone (707) 556-8100

Other identifiers 1

IdentifierTypeStateIssuer
NP13914OtherTERM NP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urgentcareqvmc@sjhhandhmg.allscriptsdirect.net

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
I20190515001933 CA Practitioner - Nurse Practitioner 3779826722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Clinica de la Raza IncGroup PAC ID 1557258282, 130 clinicians
Department of State HospitalsGroup PAC ID 9638174238, 275 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

210 Hospital Dr
Vallejo, CA 94589-2517
Phone (707) 645-7316

2100 Napa Vallejo Hwy
Napa, CA 94558-6234
Phone (916) 651-8811

220 Hospital Dr
Vallejo, CA 94589-2517
Phone (707) 641-1900

415 Georgia St
Vallejo, CA 94590-6004
Phone (707) 556-8100

500 Doyle Park Dr
Suite 106a
Santa Rosa, CA 95405-4559
Phone (707) 303-8359

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13914CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals Current Accepting new patients
La Clinica de la Raza Inc Current Accepting new patients
Department of State Hospitals CurrentSince Feb 3, 2020 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Department of State Hospitals CurrentSince Feb 3, 2020 Accepting new patients
La Clinica de la Raza Inc CurrentSince Apr 1, 2019 Accepting new patients
Providence Medical Foundation CurrentSince Jan 13, 2020 Accepting new patients
Providence Medical Foundation CurrentSince Jan 13, 2020 Accepting new patients
La Clinica de la Raza Inc CurrentSince Apr 1, 2019 Accepting new patients
La Clinica de la Raza, Inc. Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1621 W Imola Ave
Napa, CA 94559
Phone (707) 251-4280

2100 Napa Vallejo Hwy
Napa, CA 94558
Phone (707) 253-5000

2021 Main St
Oakley, CA 94561
Phone (925) 776-8200

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

500 Doyle Park Dr
Ste 106A
Santa Rosa, CA 95405
Phone (707) 967-5721

220 Hospital Dr
Vallejo, CA 94589
Phone (707) 641-1900

243 Georgia St
#B
Vallejo, CA 94590
Phone (707) 556-8100

415 Georgia St
Vallejo, CA 94590
Phone (707) 556-8100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lhernandez308528@direct.ochin.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 3

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1407890320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 GEORGIA ST",
            "address_2": "SUITE B",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905905",
            "telephone_number": "707-556-8100",
            "fax_number": "707-556-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 GEORGIA ST",
            "address_2": "SUITE B",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905905",
            "telephone_number": "707-556-8100",
            "fax_number": "707-556-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LUZ",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "507057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TERM NP",
            "identifier": "NP13914",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urgentcareqvmc@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1621 W Imola Ave",
            "city": "Napa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945594721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.