Carisa L Hernandez (NPI# 1467813345, PAC ID# 3870892797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1467813345 |
| PAC ID by PECOS | 3870892797 |
| Professional Enrollment ID | I20160427002390 |
| Full Name | Carisa L Hernandez |
| Organization Legal Name | ANTAKI AND ASSOCIATES INFECTIOUS DISEASE MEDICAL GROUP INC |
| Address |
801 S Chevy Chase Dr Suite 101 Glendale CA 91205-4437 |
| Phone Number | 3232425299 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941295943 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050058 | GLENDALE MEM HOSPITAL & HLTH CENTER |
| 050239 | GLENDALE ADVENTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 801 S Chevy Chase Dr, Suite 101, Glendale, CA 91205-4437 | 3232425299 | ANTAKI AND ASSOCIATES INFECTIOUS DISEASE MEDICAL GROUP INC |
| Organization Legal Name | ANTAKI AND ASSOCIATES INFECTIOUS DISEASE MEDICAL GROUP INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean-pierre E Antaki | Infectious Disease | Antaki and Associates Infectious Disease Medical Group Inc | 801 S Chevy Chase Dr, Suite 101, Glendale, CA 91205-4437 |
| Michelle P Martinez | Nurse Practitioner | Antaki and Associates Infectious Disease Medical Group Inc | 801 S Chevy Chase Dr, Suite 101, Glendale, CA 91205-4437 |
| Byron K Williams | Infectious Disease | Antaki and Associates Infectious Disease Medical Group Inc | 801 S Chevy Chase Dr, Suite 101, Glendale, CA 91205-4437 |
| Pia T Neria | Physician Assistant | Antaki and Associates Infectious Disease Medical Group Inc | 801 S Chevy Chase Dr, Suite 101, Glendale, CA 91205-4437 |
| Street Address |
801 S CHEVY CHASE DR SUITE 101 |
| City | GLENDALE |
| State | CA |
| Zip | 91205-4437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean-pierre E Antaki | Infectious Disease | Antaki and Associates Infectious Disease Medical Group Inc | 801 S Chevy Chase Dr, Suite 101, Glendale, CA 91205-4437 |
| Michelle P Martinez | Nurse Practitioner | Antaki and Associates Infectious Disease Medical Group Inc | 801 S Chevy Chase Dr, Suite 101, Glendale, CA 91205-4437 |
| Samir A Sawiris | Internal Medicine | Family Practice of Glendale A Medical Corporation | 801 S Chevy Chase Dr, Suite 230, Glendale, CA 91205-4436 |
| Luis M Albert | Family Medicine | 801 S Chevy Chase Dr, Suite 105, Glendale, CA 91205-4432 | |
| Jack N Yu | Family Medicine | Family Practice of Glendale A Medical Corporation | 801 S Chevy Chase Dr, Suite 230, Glendale, CA 91205-4436 |
| Taline G Garabedian | Physician Assistant | Comprehensive Community Health Centers Inc | 801 S Chevy Chase Dr, Suite 250, Glendale, CA 91205-4433 |
| Elena J Budagyan | Physician Assistant | Comprehensive Community Health Centers Inc | 801 S Chevy Chase Dr, Suite 250, Glendale, CA 91205-4433 |
| Byron K Williams | Infectious Disease | Antaki and Associates Infectious Disease Medical Group Inc | 801 S Chevy Chase Dr, Suite 101, Glendale, CA 91205-4437 |
| Beth S Marcus | Family Medicine | Family Practice of Glendale A Medical Corporation | 801 S Chevy Chase Dr, Suite 230, Glendale, CA 91205-4436 |
| Brian D Kan | Internal Medicine | Family Practice of Glendale A Medical Corporation | 801 S Chevy Chase Dr, Suite 230, Glendale, CA 91205-4436 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Omar E Espinosa | General Practice | E1110s Glendale Ave, Glendale, CA 91205 | |
| Leon H Hoffman | Optometry | 113 E Broadway, Glendale, CA 91205-1006 | |
| Bonnie C Peng | Optometry | Glendale Optometric Center | 308 E Broadway, Glendale, CA 91205-1011 |
| Jane Pouvaranukoah | Optometry | Glendale Optometric Center | 308 E Broadway, Glendale, CA 91205-1011 |
| Jeffrey T Nishi | Optometry | Glendale Optometric Center | 308 E Broadway, Glendale, CA 91205-1011 |
| Stacey T Gin | Optometry | Glendale Optometric Center | 308 E Broadway, Glendale, CA 91205-1011 |
| Armen Derboghossians | Urology | 116 S Louise St, Glendale, CA 91205-1025 | |
| Lisa Ann Moreno | Nurse Practitioner | All for Health Health for All Inc | 519 E Broadway, Glendale, CA 91205-1110 |
| Noobar Janoian | Family Medicine | All for Health Health for All Inc | 519 E Broadway, Glendale, CA 91205-1110 |
| Artur Vardanyan | General Practice | All for Health Health for All Inc | 519 E Broadway, Glendale, CA 91205-1110 |
| Find all physicians in zip 91205 | |||
| City | GLENDALE |
| Zip Code | 91205 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GLENDALE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carisa L Hernandez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.