Lilia G Hernandez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A39635 Issued in CA

Practice address

4341 Bevilacqua CT
Pleasanton, CA 94566-7104

Phone

(925) 918-1738

Fax

(925) 417-8811

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Lilia Hernandez Mortera Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598886038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 BEVILACQUA CT",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667104",
            "telephone_number": "925-918-1738",
            "fax_number": "925-417-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 BEVILACQUA CT",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667104",
            "telephone_number": "925-918-1738",
            "fax_number": "925-417-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LILIA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A39635",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "146054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "A39635",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIA",
            "last_name": "MORTERA",
            "middle_name": "HERNANDEZ",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marisa Perez Hemenez
• La Tonya Henderson
• Nicole Henderson
• Henry a. Chen, M.D.
• Ilyanne Hernandez
• Rudy Hernandez
• Sophia Renee Hernandez
• Tatiana Hernandez, CCA
• Candice Herr
• Gabriella Herrera

• Pediatrics Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Pediatrics Physician in California

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