Individual provider Active NPI

Carla Hernandez, RD

  • Registered Dietitian
  • Moorpark, CA
National Provider Identifier
1447695176
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86114252 Issued in CA
Practice address
4170 Quailsprings CT
Moorpark, CA 93021-2784
Phone
(916) 759-8947
NPI assigned
May 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86114252 CA Primary

Addresses

Primary practice location

4170 Quailsprings CT
Moorpark, CA 93021-2784

Mailing address

4170 Quailsprings CT
Moorpark, CA 93021-2784
Phone (916) 759-8947

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL PracticeBetter.io

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86114252CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1447695176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 QUAILSPRINGS CT",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212784",
            "telephone_number": "916-759-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 QUAILSPRINGS CT",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212784",
            "telephone_number": "916-759-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CARLA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86114252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PracticeBetter.io",
            "affiliation": "N",
            "endpointDescription": "Client Management/ EHR",
            "address_1": "4170 Quailsprings Ct",
            "city": "Moorpark",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930212784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.