David J. Hernandez MD a Professional Medical Corporation

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

G48343 Issued in CA

Legal business name

DAVID J. HERNANDEZ MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

7012 Reseda Blvd Ste 100
Reseda, CA 91335-4219

Phone

(747) 265-6423

Fax

(747) 265-6424

NPI assigned

Oct 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. David Jacinto Hernandez, MDNPI 1396756912

Title

Director

Phone

(818) 403-8728

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David J Hernandez, MD

  • Internal Medicine Physician
  • Reseda, CA
  • NPI 1396756912

  Adult Medicine

  Medicare reassignment NPD Authorized official
• Maria Therese Dela Merced, NP

  • Gerontology Nurse Practitioner
  • Reseda, CA
  • NPI 1255971743
  Medicare reassignment NPD
• Roya Kazemi, D.C.

  • Chiropractor
  • Canoga Park, CA
  • NPI 1205947256
  NPD
• Roy Silver, M.D.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1962465310
  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1912417007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 RESEDA BLVD STE 100",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354219",
            "telephone_number": "747-265-6423",
            "fax_number": "747-265-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 RESEDA BLVD STE 100",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354219",
            "telephone_number": "747-265-6423",
            "fax_number": "747-265-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. HERNANDEZ MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JACINTO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-403-8728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G48343",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G483431",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas N Dao, DPT
• Daniel K Darvish, MD
• Gargi Dasgupta, PSY.D.
• Emily Dassow, OTR/L
• Heather Davault
• David M. Hand D.D.S., Inc.
• David Taftian DO, Inc
• Vicky Davtyan
• Dawn R. Buratti, D.P.M., Inc
• Sachi Marie De la Cruz

• Adult Medicine Physician in Reseda, CA
• Providers in Reseda, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.