Active NPI
Carlos Hernandez
- Driver
- Chula Vista, CA
National Provider Identifier
1891945168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- C4081219
- Practice address
- 20 E Rienstra St
#13
Chula Vista, CA 91911-5255 - Phone
- (619) 271-6233
- NPI assigned
- Sep 23, 2008
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | C4081219 | CA | Primary |
Addresses
Primary practice location
20 E Rienstra St
#13
Chula Vista, CA 91911-5255
Mailing address
20 E Rienstra St
#13
Chula Vista, CA 91911-5255
Phone (619) 271-6233
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 |
|---|---|---|---|
| C4081219 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1891945168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 E RIENSTRA ST",
"address_2": "#13",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919115255",
"telephone_number": "619-271-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 E RIENSTRA ST",
"address_2": "#13",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919115255",
"telephone_number": "619-271-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "CARLOS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "C4081219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.