DR. CAMELLIA LOUISA HERNANDEZ


Address: 9040 Jackson Ave, Tacoma, WA 98431-0004
Phone: 2539685422

DR. CAMELLIA LOUISA HERNANDEZ (NPI# 1518229855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518229855
Entity Type Individual
Full Name DR. CAMELLIA LOUISA HERNANDEZ
Credential M.D.
Practice Address 9040 Jackson Ave
Tacoma
WA 98431-0004
Mailing Address 8253 Anderson Dr
Fairfax
VA 22031-4857
Practice Telephone 2539685422
Mailing Telephone 5052614556
Enumeration Date 2012-06-12
Last Update Date 2019-03-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
60917702 WA Allopathic & Osteopathic Physicians
Y 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
D0076598 MD Allopathic & Osteopathic Physicians

Office Location

Street Address 9040 JACKSON AVE
City TACOMA
State WA
Zip Code 98431-0004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356345185 John E Buonora Nurse Anesthetist, Certified Registered 9040 Jackson Ave, Tacoma, WA 98431-2025 2005-06-09
1629675251 Brian Rankin Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-10-06
1508473869 Allyssa Lynn Borak Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-09-30
1093322299 Jessica Granger Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-09-30
1134736481 Rebecca Reinhardt Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-09-29
1184238479 Mark Nash Physical Therapist 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-09-03
1679191969 Christopher A Land Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-07-13
1396362604 Valerie Kruger Genetic Counselor, MS 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-07-02
1255958724 Michael Wong Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-07-01
1841813391 Kailey Utley Optometrist 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-05-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497212260 Catrina Renee Grugin Registered Nurse Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 2019-02-27
1801307681 Bianca Gomez Dental Assistant Bldg 9900 Lincoln Street, Jblm, WA 98431 2017-10-19
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1922538206 Sarah Frerichs Dentist Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 2017-06-19
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1336695535 Jacqueline D Massouda Dentist Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 2016-08-28
1609239375 Gregg V Palmer Licensed Practical Nurse 17th and C Street, Bldg 11582, Tacoma, WA 98431 2016-03-31
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1679905434 Austin William Schaar Dentist Building 9900, 2nd Floor, Tacoma, WA 98431 2013-08-05
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
Find all providers in zip 98431

Taxonomy Information

Taxonomy Code 207RA0201X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Allergy & Immunology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376156620 Olympia Allergy & Immunology Internal Medicine 2320 130th Ave Ne Ste 220, Bellevue, WA 98005-1718 2020-08-26
1801948583 Jennifer W Cole Internal Medicine Allergy & Asthma Specialty Service, Ps, 11203 Bridgeport Way Sw, Lakewood, WA 98499-3002 2007-01-16
1235556432 Anna Lang Internal Medicine 1959 Ne Pacific St., Seattle, WA 98195-0001 2014-03-25
1427322288 Lahari Rampur Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2012-02-25
1518195999 Matthew Altman Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2009-06-24
1457478042 Michael F Mullarkey Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2007-03-26
1336286608 Andrew Ayars Internal Medicine University of Washington, 1959 Ne Pacific St, Seattle, WA 98195-0001 2007-01-30
1437259835 Reynold Michael Karr Jr. Internal Medicine 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 2006-09-25
1235106352 Arvinder Mokha Internal Medicine 904 7th Ave, Seattle, WA 98104-1132 2006-03-07

Competitor

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City TACOMA
Zip Code 98431

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Dataset Information

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.

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