Individual provider Active NPI

Daniel I Hernandez, MD

  • Obstetrics & Gynecology Physician
  • Fresno, CA
National Provider Identifier
1487615449
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C143962 Issued in CA
Practice address
1187 E Herndon Ave
Ste 106
Fresno, CA 93720-3166
Phone
(559) 224-0900
Fax
(559) 441-4271
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C143962 CA Primary

Addresses

Primary practice location

1187 E Herndon Ave
Ste 106
Fresno, CA 93720-3166

Mailing address

PO Box 27890
Fresno, CA 93729-7890
Phone (559) 538-3080

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170607002324 CA Practitioner - Obstetrics/Gynecology 0244418358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Childrens Medical GroupGroup PAC ID 9032439336, 50 clinicians

Practice addresses (Care Compare)

1524 McHenry Ave
Modesto, CA 95350-4500
Phone (209) 572-3880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C143962CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Children'S Medical Group CurrentSince Dec 1, 2021 Accepting new patients
Valley Women'S Healthcare Medical Group, Inc Obstetrics & Gynecology CurrentSince Jul 10, 2018 Accepting new patients

Locations

5293 N 1st St
Fresno, CA 93710
Phone (559) 244-0133

1187 E Herndon Ave
Ste 106
Fresno, CA 93720
Phone (209) 266-0440

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1487615449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27890",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937297890",
            "telephone_number": "559-538-3080",
            "fax_number": "559-538-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 E HERNDON AVE",
            "address_2": "STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203166",
            "telephone_number": "559-224-0900",
            "fax_number": "559-441-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DANIEL",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C143962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.