| Dr Francisco Antonio Hernandez, MD | |
|
4562 Paseo De La Vista, Bonita, CA 91902-1255 | |
| (619) 997-4410 | |
| (619) 472-0386 |
| Full Name | Dr Francisco Antonio Hernandez |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 4562 Paseo De La Vista, Bonita, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114907706 | NPI | - | NPPES |
| 00A36108 | Medicaid | CA | |
| GR0062500 | Other | CA | MEDICAID GRP# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A36108 (California) | Primary |
| Entity Name | Scripps Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822 |
| Entity Name | Coast Surgical Group A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184723629 PECOS PAC ID: 2163499385 Enrollment ID: O20040915001124 |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Francisco Antonio Hernandez, MD 4562 Paseo De La Vista, Bonita, CA 91902-1255 Ph: (619) 997-4410 | Dr Francisco Antonio Hernandez, MD 4562 Paseo De La Vista, Bonita, CA 91902-1255 Ph: (619) 997-4410 |
Carlos O Chacon, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 180 Otay Lakes Rd, 110, Bonita, CA 91902 Phone: 858-633-7546 Fax: 760-634-6785 |