Individual provider Active NPI

Jonathan Hernandez, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1497121545
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108887 Issued in FL
Practice address
2716 N Tenaya Way
Las Vegas, NV 89128-0424
Phone
(702) 877-5199
Fax
(858) 258-6741
NPI assigned
Aug 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9108887 FL
Medical Physician Assistant 363AM0700X FL
Medical Physician Assistant 363AM0700X PA2882 NV
Physician Assistant 363A00000X PA9108887 FL Primary

Addresses

Primary practice location

2716 N Tenaya Way
Las Vegas, NV 89128-0424

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 383-6210

Other practice location 1

2300 W Sahara Ave Ste 800
Las Vegas, NV 89102-4397
Phone (203) 666-8145

Other practice location 2

3501 Johnson St
Hollywood, FL 33021-5421
Phone (786) 357-7617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, IL, NY, NV, MT, UT, MI, IA, VA, WI, CO, ID, NC14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
I20151202001590 FL Practitioner - Physician Assistant 5991005688 Reassigns benefits to 6 organizations
I20230703002733 CA Practitioner - Physician Assistant 5991005688 Reassigns benefits to 2 organizations
I20230705003398 IL Practitioner - Physician Assistant 5991005688 Reassigns benefits to 2 organizations
I20230922003232 NY Practitioner - Physician Assistant 5991005688 Reassigns benefits to 2 organizations
I20231106001612 NV Practitioner - Physician Assistant 5991005688 Reassigns benefits to 4 organizations
I20231117001292 MT Practitioner - Physician Assistant 5991005688 Reassigns benefits to 2 organizations
I20231117002266 UT Practitioner - Physician Assistant 5991005688 Reassigns benefits to 2 organizations
I20231120000989 MI Practitioner - Physician Assistant 5991005688 Reassigns benefits to 2 organizations
I20231121000553 IA Practitioner - Physician Assistant 5991005688 Reassigns benefits to 2 organizations
I20231128003903 VA Practitioner - Physician Assistant 5991005688 Reassigns benefits to 2 organizations
I20231129003264 WI Practitioner - Physician Assistant 5991005688 Reassigns benefits to 2 organizations
I20231207000008 CO Practitioner - Physician Assistant 5991005688 Reassigns benefits to 2 organizations
I20240216004389 ID Practitioner - Physician Assistant 5991005688 Reassigns benefits to 2 organizations
I20240912003100 NC Practitioner - Physician Assistant 5991005688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Topaz Bay Senior Health PCGroup PAC ID 2860906385, 30 clinicians
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians
Chess Medical PCGroup PAC ID 5496126914, 12 clinicians

Practice addresses (Care Compare)

111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (203) 666-8145

12100 Wilshire Blvd
FL 8
Los Angeles, CA 90025-7120
Phone (203) 666-8145

132 9TH Ave N
St Petersburg, FL 33701-1814
Phone (203) 666-8145

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
030232NYMDSpeech-Language Pathologist
PA9108887FLMDPhysician Assistant
PA2882NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Emergency Services of Miami Beach PA Physician Assistant CurrentSince Jun 16, 2022 Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000

Interoperability endpoints

  • Direct secure messaging: jhernandez120943@westdirect.optum.com

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1497121545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-383-6210",
            "fax_number": "858-258-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 N TENAYA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280424",
            "telephone_number": "702-877-5199",
            "fax_number": "858-258-6741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 W Sahara Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891024397",
            "country_code": "US",
            "telephone_number": "203-666-8145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Johnson St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215421",
            "country_code": "US",
            "telephone_number": "786-357-7617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-12",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108887",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA2882",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.