Victor Orlando Hernandez, CSFA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

125 Potomac Psge Unit 200
Oxon Hill, MD 20745-1580

Phone

(305) 206-8331

NPI assigned

Dec 2, 2018

Last updated

Feb 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1543708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1508336637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BELLE VIEW BLVD APT C2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223076728",
            "telephone_number": "305-206-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 POTOMAC PSGE UNIT 200",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451580",
            "telephone_number": "305-206-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "VICTOR",
        "middle_name": "ORLANDO",
        "name_prefix": "Mr.",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-02",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "185997",
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": "111590",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF SURIGCAL TECHNOLOGIST AND SURGICAL ASSISTING (NBSTSA)",
            "identifier": "185997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lena Hedayat
• Garrett Kennedy Heid, DPT
• Jason Henderson, DPT
• Brigitte Henry, DPT
• Rosa Hernandez, P.T.
• Hill Top Pharmacy LLC (Hill Top Pharmacy)
• Hilltop Internal Medicine and Endocrinology LLC
• Lakeisha Ebonie Hines, LGPC
• His &Her Medical and Mental Health Services (Medical & Mental Health Provider)
• His Faithfulness Family Clinic Inc

• Surgical Physician Assistant in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.