Individual provider Active NPI

Rogelio M Hernandez, M.D.

  • Pediatrics Physician
  • Madera, CA
National Provider Identifier
1659387629
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A49249 Issued in CA
Practice address
1130 Country Club Dr
Suite E
Madera, CA 93638-1582
Phone
(559) 673-3297
Fax
(559) 673-3298
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A49249 CA Primary
General Practice Physician 208D00000X A49249 CA

Addresses

Primary practice location

1130 Country Club Dr
Suite E
Madera, CA 93638-1582

Mailing address

1130 Country Club Dr
Suite E
Madera, CA 93638-1582
Phone (559) 673-3297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Medical Group Inc CurrentSince Feb 8, 2021 Accepting new patients

Locations

1107 O St
Firebaugh, CA 93622
Phone (559) 659-9000

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1659387629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 COUNTRY CLUB DR",
            "address_2": "SUITE E",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936381582",
            "telephone_number": "559-673-3297",
            "fax_number": "559-673-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 COUNTRY CLUB DR",
            "address_2": "SUITE E",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936381582",
            "telephone_number": "559-673-3297",
            "fax_number": "559-673-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ROGELIO",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A49249",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A49249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.