Eva Hernandez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

16187 Issued in CA

Practice address

28212 Kelly Johnson Pkwy
Ste 245
Valencia, CA 91355-5092

Phone

(661) 254-3686

Fax

(661) 254-5671

NPI assigned

Oct 29, 2007

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• James Y. Wang, MD, Inc.

  dba Metropolis Dermatology

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1538640669
  Medicare reassignment

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1487833372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY",
            "address_2": "STE 245",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555092",
            "telephone_number": "661-254-3686",
            "fax_number": "661-254-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY",
            "address_2": "STE 245",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555092",
            "telephone_number": "661-254-3686",
            "fax_number": "661-254-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "EVA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "16187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cinthya Jarumi Hernandez Mendoza
• Valarie Belen Hernandez Mendoza
• Carmelo Hernandez
• Crystal Viviana Hernandez
• Elia Hernandez
• Jessica Hernandez
• Jocceline Melissa Hernandez, MS, RD
• Krystal Alix Hernandez, OTR/L
• Myranda Ruby Hernandez, M.S. CCC-SLP
• Samantha Hernandez

• Physician Assistant in Valencia, CA
• Providers in Valencia, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.