Jose Gaudencio Hernandez, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

A37666 Issued in CA

Practice address

750 Medical Center CT Ste 2
Chula Vista, CA 91911-6634

Phone

(619) 421-3144

Fax

(619) 421-6805

NPI assigned

Oct 18, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1477838779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MEDICAL CENTER CT STE 2",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116634",
            "telephone_number": "619-421-3144",
            "fax_number": "619-421-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MEDICAL CENTER CT STE 2",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116634",
            "telephone_number": "619-421-3144",
            "fax_number": "619-421-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "GAUDENCIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A37666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giovan Hernandez
• Isis Hernandez
• Jenin Hernandez
• Jessica M Hernandez, RBT
• Jessica Yvette Hernandez
• Juana Hortencia Hernandez, LMT
• Katteryn Joselyn Hernandez
• Lionel Hernandez
• Marina Hernandez
• Marlen Hernandez

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.