Individual provider Active NPI

Jonathan Hernandez, NP

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1639689805
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95007587 Issued in CA
Practice address
2504 Cedar St
Bakersfield, CA 93301-2728
Phone
(661) 240-8500
NPI assigned
Oct 2, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95007587 CA Primary

Addresses

Primary practice location

2504 Cedar St
Bakersfield, CA 93301-2728

Mailing address

2504 Cedar St
Bakersfield, CA 93301-2728
Phone (661) 240-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191028000893 CA Practitioner - Nurse Practitioner 4082946835 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, shared by 31 NPIs, 180 clinicians

Practice addresses (Care Compare)

1305 Bear Mountain Blvd
Arvin, CA 93203-1231
Phone (661) 854-3131

2000 Physicians Blvd
Bakersfield, CA 93301-1277
Phone (661) 324-1455

2740 S Elm Ave
Fresno, CA 93706-5435
Phone (559) 457-5200

301 Brundage LN
Bakersfield, CA 93304-3248
Phone (661) 323-6086

625 34TH St
Suite 100And200
Bakersfield, CA 93301-2305
Phone (833) 678-2781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95007587CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince May 29, 2023 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Oct 15, 2019 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Oct 15, 2019 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Jan 26, 2022 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

2400 Wible Rd
Ste 14
Bakersfield, CA 93304
Phone (661) 725-4780

625 34th St
Ste 100200
Bakersfield, CA 93301
Phone (833) 578-2781

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

2740 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5200

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639689805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 CEDAR ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012728",
            "telephone_number": "661-240-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 CEDAR ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012728",
            "telephone_number": "661-240-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JONATHAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.