Samantha Jeanine Hernandez

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95138665 Issued in CA

Practice address

3950 Reynolds Rd
Riverside, CA 92503-3517

Phone

(951) 358-4551

NPI assigned

Jul 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Jeanine Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1689412728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 REYNOLDS RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 REYNOLDS RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033517",
            "telephone_number": "951-358-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "SAMANTHA",
        "middle_name": "JEANINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95138665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "JOHNSON",
            "middle_name": "JEANINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter Thomas Hernandez II
• Rachel Hernandez
• Ramona Gonzales Hernandez
• Rebeca Hernandez
• Samantha Hernandez
• Sandy Hernandez, BCBA
• Sarah Hernandez
• Sofia Hernandez
• Sofia Veronica Melina Hernandez
• Stephanie Hernandez

• Registered Nurse in Riverside, CA
• Providers in Riverside, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.