John M Hernandez, MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A42641 Issued in CA

Legal business name

JOHN M HERNANDEZ, MD INC

Practice address

1417 W Beverly Blvd
Suite 101
Montebello, CA 90640-4146

Phone

(323) 726-1109

NPI assigned

Jul 23, 2011

Organization subpart

No

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

Authorized official

Name

John M Hernandez, M.D.NPI 1073683546

Title

Physician/President

Phone

(323) 726-1109

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Manuel Hernandez, MD

  • Internal Medicine Physician
  • Montebello, CA
  • NPI 1073683546
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1311379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1487932554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 BEVERLY BLVD",
            "address_2": "SUITE A5 PMB 157",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906012576",
            "telephone_number": "323-726-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 W BEVERLY BLVD",
            "address_2": "SUITE 101",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404146",
            "telephone_number": "323-726-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M HERNANDEZ, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-23",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "323-726-1109",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A42641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young a Jeon
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• Jerry Medical Corporation
• Jeffrey Wing (W) Joe, DDS
• John D. Uphold, MD, Inc.
• Jonathan K. Lee DDS, Apc
• Tracy Jones
• Kevin Jerard Jorgensen, PA-C
• Liliana Carolina Juarez Casillas, PA-C
• Monica Gabriela Juarez Ceron, C.MT

• Internal Medicine Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.