Active NPI
Maria R. Hernandez, D.D.S.
- General Practice Dentistry
- Lancaster, CA
National Provider Identifier
1487704631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44320
- Practice address
- 1020 E Avenue J
Lancaster, CA 93535-3840 - Phone
- (661) 729-1818
- Fax
- (661) 729-1819
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 44320 | CA | Primary |
Addresses
Primary practice location
1020 E Avenue J
Lancaster, CA 93535-3840
Mailing address
1020 E Avenue J
Lancaster, CA 93535-3840
Phone (661) 729-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9333201 | Other | CA | MEDI-CAL PROVIDER NUMBER |
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 |
|---|---|---|---|
| 44320 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487704631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 E AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935353840",
"telephone_number": "661-729-1818",
"fax_number": "661-729-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 E AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935353840",
"telephone_number": "661-729-1818",
"fax_number": "661-729-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MARIA",
"middle_name": "R.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "44320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER NUMBER",
"identifier": "G9333201",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.