Individual provider Active NPI

Erwin Cereno Hernandez, PA-C

  • Medical Physician Assistant
  • Northridge, CA
National Provider Identifier
1932493699
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA21379 Issued in CA
Practice address
17074 Devonshire St
Northridge, CA 91325-1617
Phone
(818) 428-1790
Fax
(888) 801-0607
NPI assigned
May 30, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA21379 CA Primary

Addresses

Primary practice location

17074 Devonshire St
Northridge, CA 91325-1617

Mailing address

401 E Carrillo St
Santa Barbara, CA 93101-1460
Phone (805) 563-3307

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
I20110805000152 CA Practitioner - Physician Assistant 3870762933 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pantea Farhadi MD a Medical CorporationGroup PAC ID 6305011545, 4 clinicians

Practice addresses (Care Compare)

Northridge, CA 91325
Phone (818) 804-8227

8635 W 3Rd St
Suite 1065W
Los Angeles, CA 90048-6105
Phone (310) 890-7598

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21379CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pantea Farhadi MD a Medical Corporation CurrentSince Aug 28, 2025 Accepting new patients
Health Service Alliance CurrentSince Jul 2, 2023 Accepting new patients
Neuropsychology Consultants, Inc CurrentSince Aug 28, 2025 Accepting new patients
Psychiatry and Mental Health, a Physician Assistant Corporation CurrentSince Sep 2, 2025 Accepting new patients
Health Service Alliance CurrentSince Jul 2, 2023 Accepting new patients
Mission City Community Network, Inc. CurrentSince Apr 8, 2024 Accepting new patients
Mission City Community Network, Inc. CurrentSince Apr 8, 2024 Accepting new patients
Kamal Bijanpour Inc Past Accepting new patients

Locations

220 S Indian Hill Blvd
Ste F
Claremont, CA 91711
Phone (909) 281-5800

8635 W 3rd St
Ste 1065W
Los Angeles, CA 90048
Phone (310) 360-0331

5050 San Bernardino St
Montclair, CA 91763
Phone (909) 281-5800

17074 Devonshire St
Northridge, CA 91325
Phone (818) 428-1790

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone 8188953100602

15206 Parthenia St
Sepulveda, CA 91343

600 N Euclid Ave
Ste 204
Upland, CA 91786
Phone (909) 379-1513

8581 Santa Monica Blvd
West Hollywood, CA 90069
Phone (323) 391-3422

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1932493699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E CARRILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011460",
            "telephone_number": "805-563-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17074 DEVONSHIRE ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251617",
            "telephone_number": "818-428-1790",
            "fax_number": "888-801-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ERWIN",
        "middle_name": "CERENO",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-30",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.