Active NPI
Matthew Jason Hernandez, CSFA
- Surgery Physician
- Corpus Christi, TX
National Provider Identifier
1831825249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 104339
- Practice address
- 600 Elizabeth St
Corpus Christi, TX 78404-2235 - Phone
- (361) 881-3000
- NPI assigned
- Jul 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 104339 | TX | Primary |
Addresses
Primary practice location
600 Elizabeth St
Corpus Christi, TX 78404-2235
Mailing address
1218 Buena Suerte
Weslaco, TX 78596-4475
Phone (956) 929-0349
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104339 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1831825249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 BUENA SUERTE",
"city": "WESLACO",
"state": "TX",
"postal_code": "785964475",
"telephone_number": "956-929-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ELIZABETH ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784042235",
"telephone_number": "361-881-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MATTHEW",
"middle_name": "JASON",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-27",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "104339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.