Marisa Rene Hernandez, RD is a
Dietitian, Registered based in Brentwood, California. Marisa Rene Hernandez is licensed to practice in California (license number 86359383) and her current practice location is
3381 Walnut Blvd Ste 200b, Brentwood, California. She can be reached at her office (for appointments etc.) via phone at
(925) 252-5922.
NPI number for Marisa Rene Hernandez is 1861272213 and her current mailing address is 3381 Walnut Blvd Ste 200b, Brentwood, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861272213.
Healthcare Provider's Profile
| Full Name | Marisa Rene Hernandez |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 3381 Walnut Blvd Ste 200b, Brentwood, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861272213
- Provider Enumeration Date: 10/03/2023
- Last Update Date: 04/05/2025
Medical Identifiers
Medical identifiers for Marisa Rene Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861272213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 86359383 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marisa Rene Hernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Marisa Rene Hernandez, RD 3381 Walnut Blvd Ste 200b, Brentwood, CA 94513-4495 Ph: (925) 252-5922 | Marisa Rene Hernandez, RD 3381 Walnut Blvd Ste 200b, Brentwood, CA 94513-4495 Ph: (925) 252-5922 |
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