Active NPI
Debra Hernandez, RDA
- Dental Assistant
- Buena Park, CA
National Provider Identifier
1467798074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 72278
- Practice address
- 8381 La Palma Ave
Suite B&C
Buena Park, CA 90620-3271 - Phone
- (714) 228-9990
- NPI assigned
- Dec 31, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 72278 | CA | Primary |
Addresses
Primary practice location
8381 La Palma Ave
Suite B&C
Buena Park, CA 90620-3271
Mailing address
14349 Grayland Ave
Norwalk, CA 90650-4949
Phone (562) 519-1637
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
| License | State | Type | Specialty |
|---|---|---|---|
| 72278 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356912000000",
"number": "1467798074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14349 GRAYLAND AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504949",
"telephone_number": "562-519-1637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8381 LA PALMA AVE",
"address_2": "SUITE B&C",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906203271",
"telephone_number": "714-228-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "DEBRA",
"name_prefix": "Ms.",
"credential": "RDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-31",
"last_updated": "2012-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "72278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.