Active NPI
Jessica Hernandez
- Other Technician
- Irvine, CA
National Provider Identifier
1760045116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 18008 Park Circle
Suite 110
Irvine, CA 92614-5955 - Phone
- (949) 474-1493
- NPI assigned
- Apr 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
18008 Park Circle
Suite 110
Irvine, CA 92614-5955
Mailing address
18008 Park Circle
Suite 110
Irvine, CA 92614-5955
Phone (949) 474-1493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1760045116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18008 PARK CIRCLE",
"address_2": "SUITE 110",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145955",
"telephone_number": "949-474-1493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18008 PARK CIRCLE",
"address_2": "SUITE 110",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145955",
"telephone_number": "949-474-1493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-20",
"last_updated": "2021-05-11",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.