Jose-Julio Hernandez-Blouin, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DDS101007 Issued in CA

Practice address

1000 W Washington St Ste 1
San Diego, CA 92103-1873

Phone

(619) 297-0700

NPI assigned

Nov 16, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stone Thayer MD, DMD, Apc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • San Diego, CA
  • NPI 1871189860

  Single Specialty

  NPD
• Rady Children'S Hospital San Diego

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Diego, CA
  • NPI 1851303994
  NPD (past)

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1457893885",
    "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": "1000 W WASHINGTON ST STE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031873",
            "telephone_number": "619-297-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-BLOUIN",
        "first_name": "JOSE-JULIO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-16",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101007",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS101007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoselin Hernandez Rodriguez
• Kassandra Hernandez Romo
• Patricia Hernandez Rosas
• Miguel Hernandez Salas
• Ayleen Hernandez Vera
• Araneli Hernandez-Carrillo
• Jeannie Hernandez-Fritz
• Alexis Dawn Hernandez-Hons, MFT
• Dulce Jasmin Hernandez-Ramirez
• Geyra Hernandez-Rojas

• Periodontics in San Diego, CA
• Providers in San Diego, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.