Individual provider Active NPI

Marco Felix Hernandez, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1831131804
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A72141 Issued in CA
Practice address
5925 San Vicente Blvd
Los Angeles, CA 90019-6630
Phone
(323) 932-5105
Fax
(323) 932-5356
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A72141 CA Primary

Addresses

Primary practice location

5925 San Vicente Blvd
Los Angeles, CA 90019-6630

Mailing address

PO Box 661748
Arcadia, CA 91066-1748
Phone (626) 447-0296

Other identifiers 1

IdentifierTypeStateIssuer
00A721410MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC, NV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20031203000736 CA Practitioner - Emergency Medicine 2668377516 Reassigns benefits to 5 organizations
I20240919003894 NC Practitioner - Emergency Medicine 2668377516 Reassigns benefits to 1 organization
I20250213000873 NV Practitioner - Emergency Medicine 2668377516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.74
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
81.54
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.63
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72141CAMDClinical Social Worker
A72141CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Emergency Physicians PA CurrentSince Jun 1, 2024 Accepting new patients
Telemedicine365 Inc Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Pacifica Emergency Medical Associates Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Palomar Emergency Physicians, Inc Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Edwards MD PC Emergency Medicine CurrentSince Dec 8, 2024 Accepting new patients
Sherman Oaks Emergency Medical Associates Emergency Medicine CurrentSince Aug 15, 2014 Accepting new patients
Valley Presbyterian Emergency Medical Associates Emergency Medicine CurrentSince Sep 1, 2006 Accepting new patients
Valley Emergency Medical Associates Emergency Medicine Past Accepting new patients
Tarzana Emergency Medical Associates Emergency Medicine PastSince May 8, 2022 Accepting new patients
Chino Emergency Medical Associates Emergency Medicine Past Accepting new patients
Carl a. Constantine, M.D., a Professional Corporation Past Accepting new patients

Locations

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

1155 Raiders Way
Henderson, NV 89052
Phone (702) 369-7671

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1831131804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661748",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910661748",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 SAN VICENTE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196630",
            "telephone_number": "323-932-5105",
            "fax_number": "323-932-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARCO",
        "middle_name": "FELIX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A72141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A721410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.