Hernandez & Grady a Medical Corporation

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G673420 Issued in CA

Legal business name

HERNANDEZ & GRADY A MEDICAL CORPORATION

Practice address

1850 Sullivan Ave
#300
Daly City, CA 94015

Phone

(650) 991-3064

Fax

(650) 756-6610

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Raul Hernandez, MD

Title

Partner

Phone

(650) 991-3064

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1538265681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "#300",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-991-3064",
            "fax_number": "650-756-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "#300",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-991-3064",
            "fax_number": "650-756-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ & GRADY A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "650-991-3064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G673420",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A605230",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ05676Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0060000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Addison Helzer
• Saige Henderson
• Lauren Rose Hendrick
• Jaclyn Henning, NP
• Hermenegildo Angeles Jr Professional Medical Corporation
• Ella Hernandez
• Kayla Hernandez
• Vivien D Hernandez, MD
• Sonya Herrera
• Philip Hertz, MD

• Urology Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.