Individual provider Active NPI

Nathaniel Daniel Hernandez, MD

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1427377019
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A141384 Issued in CA
Practice address
9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone
(702) 880-2948
NPI assigned
May 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A141384 CA Primary

Addresses

Primary practice location

9300 W Sunset Rd
Las Vegas, NV 89148-4844

Mailing address

PO Box 232410
San Diego, CA 92193-2410
Phone (858) 249-6749

Other practice location 1

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (619) 543-2218

Other identifiers 1

IdentifierTypeStateIssuer
A141384OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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
I20160810002814 CA Practitioner - Diagnostic Radiology 6002058476 Reassigns benefits to 9 organizations
I20251003002962 NV Practitioner - Diagnostic Radiology 6002058476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians

Practice addresses (Care Compare)

17100 Euclid St
Fountain Valley, CA 92708-4004
Phone (818) 639-2901

239 Green St
Mill Valley, CA 94941-3516
Phone (818) 639-2901

3540 Talbot St
San Diego, CA 92106-2948
Phone (702) 962-7770

7130 Smoke Ranch Rd
Las Vegas, NV 89128-3157
Phone (866) 722-1655

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141384CAMDMarriage & Family Therapist
A141384CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Jul 12, 2025 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Oct 21, 2025 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
Simonmed Reno PLLC Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince Jul 12, 2025 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients

Locations

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800

1470 Encinitas Blvd
Encinitas, CA 92024

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

5860 Owens Dr
Ste 150
Pleasanton, CA 94588
Phone (925) 467-1400

200 W Arbor Dr
#8201
San Diego, CA 92103
Phone (858) 534-6290

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

7777 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8442

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779

Organizations & group practices 10

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 6

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": "1274486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1427377019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410",
            "telephone_number": "858-249-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 W SUNSET RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484844",
            "telephone_number": "702-880-2948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "619-543-2218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "NATHANIEL",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-22",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A141384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A141384",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.