Individual provider Active NPI

Gloria Hernandez Silerio

  • Specialist
  • Chula Vista, CA
National Provider Identifier
1861884132
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
95002005 Issued in CA
Practice address
584 E St
Chula Vista, CA 91910-2348
Phone
(619) 420-1378
Fax
(619) 420-1331
NPI assigned
Feb 24, 2015
Last updated
Mar 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 95002005 CA Primary

Addresses

Primary practice location

584 E St
Chula Vista, CA 91910-2348

Mailing address

584 E St
Chula Vista, CA 91910-2348
Phone (619) 420-1378

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160406000424 CA Practitioner - Nurse Practitioner 2365740495 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95002005CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Family Medical Group, Inc CurrentSince Feb 20, 2016 Accepting new patients

Locations

584 E St
Chula Vista, CA 91910
Phone (619) 420-1378

Interoperability endpoints

  • Direct secure messaging: ghernandezsilerio32447@sharphealthcare.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/13156/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1861884132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 E ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102348",
            "telephone_number": "619-420-1378",
            "fax_number": "619-420-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 E ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102348",
            "telephone_number": "619-420-1378",
            "fax_number": "619-420-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ SILERIO",
        "first_name": "GLORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "95002005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.