Individual provider Active NPI

Vanessa Hernandez, D.O.

  • Obstetrics & Gynecology Physician
  • Brawley, CA
National Provider Identifier
1699115386
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A15452 Issued in CA
Practice address
900 Main St
Brawley, CA 92227-2630
Phone
(760) 344-6471
NPI assigned
Jun 27, 2013
Last updated
Feb 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20A15452 CA Primary

Addresses

Primary practice location

900 Main St
Brawley, CA 92227-2630

Mailing address

900 Main St
Brawley, CA 92227-2630

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118000041 CA Practitioner - Osteopathic Manipulative Medicine 7416252101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Clinicas de Salud del Pueblo IncGroup PAC ID 5496657082, 42 clinicians

Practice addresses (Care Compare)

900 Main St
Brawley, CA 92227-2630
Phone (760) 344-6471

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.25 of 100Reported as group
Quality
100
Promoting interoperability
73
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15452CAMDClinical Social Worker
20A15452CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas de Salud del Pueblo, Inc Current Accepting new patients
Clinicas de Salud del Pueblo, Inc CurrentSince Nov 18, 2017 Accepting new patients
Clinicas de Salud del Pueblo Inc. CurrentSince Nov 18, 2017 Accepting new patients
Clinicas de Salud del Pueblo, Inc. Past Accepting new patients

Locations

900 Main St
Brawley, CA 92227
Phone (760) 344-6471

223 W Cole Blvd
Calexico, CA 92231
Phone (760) 357-2020

852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257

Interoperability endpoints

  • Direct secure messaging: vanessa.hernandez.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1699115386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272630",
            "telephone_number": "760-344-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "VANESSA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A15452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

Verify at the official NPI Registry.