NPIMap

Organization Active NPI

Steven D. Hernandez, D.D.S. a Professional Corporation

  • Dentist
  • Alta Loma, CA
National Provider Identifier
1891902987
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37836 Issued in CA
Legal business name
STEVEN D. HERNANDEZ, D.D.S. A PROFESSIONAL CORPORATION
Practice address
9560 Baseline Rd
Suite B
Alta Loma, CA 91701-6435
Phone
(909) 987-7676
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. Steven D. Hernandez, DDS
Title
President
Phone
(626) 332-4596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 37836 CA Primary

Addresses

Primary practice location

9560 Baseline Rd
Suite B
Alta Loma, CA 91701-6435

Mailing address

2652 Saddle Ridge Dr
Covina, CA 91724-3838
Phone (626) 332-4596

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1891902987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 SADDLE RIDGE DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243838",
            "telephone_number": "626-332-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 BASELINE RD",
            "address_2": "SUITE B",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917016435",
            "telephone_number": "909-987-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D. HERNANDEZ, D.D.S. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-332-4596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alta Loma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.