Hazel Vega Hiroshima, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95005417 Issued in CA

Practice address

400 Taylor Blvd Ste 306
Pleasant Hill, CA 94523-2160

Phone

(925) 691-9688

NPI assigned

Dec 29, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1598200503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TAYLOR BLVD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232147",
            "telephone_number": "925-691-9688",
            "fax_number": "510-985-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAYLOR BLVD STE 306",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232160",
            "telephone_number": "925-691-9688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947091606",
            "country_code": "US",
            "telephone_number": "510-848-2566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIROSHIMA",
        "first_name": "HAZEL",
        "middle_name": "VEGA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95005417",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95005417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone G Hernandez, MA, PPS SCHOOL PSYCH
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• Nurse Practitioner in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.