Miranda Santana Hernandez

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

100 N Brent St Ste 201
Ventura, CA 93003-2835

Phone

(805) 643-3330

Fax

(805) 643-3331

NPI assigned

Aug 17, 2023

Last updated

Jul 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Cardiovascular and Vein Institute IncGroup PAC ID 6709256696, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Pacific Cardiovascular and Vein Institute, Inc.

  dba Pacific Cardiovascular & Vein Institute

  • Vascular Surgery Physician
  • Ventura, CA
  • NPI 1134842933
  Medicare reassignment Care Compare group
• A.T. Still University - College for Healthy Communities

  • Student in an Organized Health Care Education/Training Program
  • Santa Maria, CA
  • NPI 1356222020
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  dba St. John's Regional Medical Center

  • General Acute Care Hospital
  • Oxnard, CA
  • NPI 1073665360
  Care Compare affiliation

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1649053141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST STE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032835",
            "telephone_number": "805-643-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST STE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032835",
            "telephone_number": "805-643-3330",
            "fax_number": "805-643-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Las Posas Rd Ste 17",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930101504",
            "country_code": "US",
            "telephone_number": "805-643-3330",
            "fax_number": "805-643-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Outlet Center Dr Ste 225",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930360605",
            "country_code": "US",
            "telephone_number": "805-643-3330",
            "fax_number": "805-643-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MIRANDA",
        "middle_name": "SANTANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graciela Hernandez, N.P.
• Jesus Hernandez
• Margaret Elizabeth Hernandez
• Maria Jose Hernandez
• McKenzie Hernandez
• Noe Hernandez
• Raymond Hernandez
• Roberto Hernandez
• Rosio Perez Hernandez I
• Samantha Hernandez

• Physician Assistant in Ventura, CA
• Providers in Ventura, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.