ANTHONY JERRY HERNANDEZ (NPI# 1265067623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265067623 |
| Entity Type | Individual |
| Full Name | ANTHONY JERRY HERNANDEZ |
| Practice Address |
16126 E Queenside Dr Covina CA 91722-2216 |
| Practice Telephone | 6262528605 |
| Mailing Telephone | 6262528605 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906826 | Anthony Mark Hernandez | Chiropractor | Pr 2 Km 124, Aguadilla, PR 00603 | 2018-03-23 |
| 1497167365 | Anthony Hernandez | Nurse's Aide | 538 N 33rd St, Springfield, OR 97478-5842 | 2014-05-28 |
| 1962578476 | Anthony Cadiente Hernandez | Specialist | 1824 Dillingham Blvd, Honolulu, HI 96819-4019 | 2006-11-27 |
| 1972614154 | Anthony R Hernandez | Dentist | 5116 American Family Dr, Madison, WI 53718-8331 | 2006-08-31 |
| 1285235515 | Anthony Hernandez | Pharmacist | 10301 Alameda Ave, Socorro, TX 79927-1605 | 2020-11-03 |
| 1083231039 | Anthony Joseph Hernandez | Behavior Technician | 21600 Oxnard St Ste 1030, Woodland Hills, CA 91367-5085 | 2020-06-25 |
| 1780208538 | Anthony David Hernandez | Student in an Organized Health Care Education/Training Program | 39200 Hooker Hwy, Belle Glade, FL 33430-5368 | 2020-06-07 |
| 1427677327 | Anthony Adame Hernandez | Behavior Technician | 9769 Crosspoint Blvd, Indianapolis, IN 46256-3346 | 2020-04-10 |
| 1083107767 | Anthony Hernandez | Behavioral Analyst | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-06-07 |
| 1083130058 | Anthony Hernandez | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2017-08-21 |
| Street Address |
16126 E QUEENSIDE DR |
| City | COVINA |
| State | CA |
| Zip Code | 91722-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083072607 | Lauren Rae Ramos | Dental Assistant | 1406 N Azuza Ave, Sute C, Covina, CA 91722 | 2016-02-10 |
| 1841674983 | John Catania | Case Manager/Care Coordinator | 4670 North Hollenbeck Ave, Covina, CA 91722 | 2015-07-18 |
| 1255615522 | Abbassi Johnson Professional Corporation | Dentist | 558 W Badillo St, Covina, CA 91722 | 2011-10-05 |
| 1528207982 | Adriana Luna | Dental Assistant | 1406 N. Azusa Ave., Suite C, Covina, CA 91722 | 2009-02-09 |
| 1295984805 | Sima Khavaran | Dentist | 546 W. Badillo St., Suite C, Covina, CA 91722 | 2008-09-18 |
| 1538361753 | Adriana Inez Camargo-fernandez | Psychologist | 599 S. Baranca, Suitel104, Covina, CA 91722 | 2007-06-01 |
| 1740498591 | Yolanda Bulaon Dycoco-esguerra | Dentist | 546 West Badillo Street, Suite E, Covina, CA 91722 | 2007-05-17 |
| 1225150543 | Michael C Huang | Dentist | 520 West Badillo Street, Covina, CA 91722 | 2007-04-06 |
| 1801914874 | Harry Humphreys Dds Inc | Dentist | 558 West Badillo, Covina, CA 91722 | 2007-03-27 |
| 1881755411 | Helen Louise Taylor | Physician Assistant | 1433 N. Hollenbeck Avenue, Suite 200, Covina, CA 91722 | 2006-12-13 |
| Find all providers in zip 91722 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1689120826 | Vanessa Jeannette Rano | Student in an Organized Health Care Education/Training Program | 149 N Barranca Ave, #2, Covina, CA 91723-2229 | 2016-08-28 |
| 1316335953 | Christine Flores | Student in an Organized Health Care Education/Training Program | 3613 N Danehurst Ave, Covina, CA 91724-3406 | 2015-01-06 |
| 1841630993 | Jeffrey Chi Kin Chan | Student in an Organized Health Care Education/Training Program | 215 W Merlot Dr, Covina, CA 91723-1565 | 2013-07-02 |
| 1376776914 | Michelle Antonia Alfaro | Student in an Organized Health Care Education/Training Program | 540 S Eremland Dr Ste E, Covina, CA 91723-3186 | 2009-08-31 |
| 1356940688 | Monica Nicole Quinn | Student in an Organized Health Care Education/Training Program | 540 S Eremland Dr, Covina, CA 91723-3186 | 2020-10-19 |
| 1821603929 | Cassandra Lawson | Student in an Organized Health Care Education/Training Program | 1359 N Grand Ave, Covina, CA 91724-1016 | 2020-09-15 |
| 1396357083 | Andrea Granados | Student in an Organized Health Care Education/Training Program | 20240 E Cienega Ave, Covina, CA 91724-1227 | 2020-08-23 |
| 1255943585 | Courtney Francheska Boston | Student in an Organized Health Care Education/Training Program | 540 S Eremland Dr, Covina, CA 91723-3186 | 2020-08-18 |
| 1992317457 | Serena Ventura | Student in an Organized Health Care Education/Training Program | 540 S Eremland Dr, Covina, CA 91723-3186 | 2020-08-17 |
| Find all providers in COVINA | ||||
Please comment or provide details below to improve the information on ANTHONY JERRY HERNANDEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.