Lauren E Hernandez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA22332 Issued in CA

Practice address

41651 Sierra Drive
Suite a
Three Rivers, CA 93271-9678

Phone

(559) 561-4683

Fax

(559) 561-4326

NPI assigned

Jun 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Practice roles

Locations

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.

• Kaweah Delta Health Care District

  dba Kaweah Health Cardiothoracic Surgery Clinic

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1326704529
  Medicare reassignment NPD
• Signify Health Medical Associates of California, PC

  • General Practice Physician
  • San Francisco, CA
  • NPI 1124685169
  Medicare reassignment NPD
• Kaweah Delta Health Care District

  dba Sequoia Regional Cancer Center Medical Oncology - Hanford

  • Oncology Clinic/Center
  • Hanford, CA
  • NPI 1437915808
  NPD
• Kaweah Delta Health Care District

  dba Kaweah Health Youth Crisis Stabilization Unit

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1447016050
  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Porterville, CA
  • NPI 1083611156
  NPD (past)
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Ivanhoe, CA
  • NPI 1386670610
  NPD (past)
• Kaweah Delta Health Care District

  dba Kaweah Health Exeter Clinic

  • Rural Health Clinic/Center
  • Exeter, CA
  • NPI 1043272172
  NPD (past)
• Marcus Zachary, D.O., P.C.

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1710592621
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1497018220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 EAST CENTER AVE.",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916331",
            "telephone_number": "559-737-4700",
            "fax_number": "559-737-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41651 SIERRA DRIVE",
            "address_2": "SUITE A",
            "city": "THREE RIVERS",
            "state": "CA",
            "postal_code": "932719678",
            "telephone_number": "559-561-4683",
            "fax_number": "559-561-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LAUREN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 22332",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENST",
            "identifier": "PA 22332",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comforting Assistance
• Family Healthcare Network
• Bertha Guadalupe Garza, CARE GIVING
• Harold Eugene Gillung, RPH
• Lee Arthur Goldstein, O.D.
• Mikella Koch, APRN
• Christina L Loria, ASW139934
• Main Fork Pharmacy
• Melissa Anne Mertz, FNP-C
• Donald Wayne Mosley, DDS

• Physician Assistant in Three Rivers, CA
• Providers in Three Rivers, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.