Alycia Hernandez, is a
Student In An Organized Health Care Education/training Program based in La Jolla, California. Alycia Hernandez is licensed to practice in * (Not Available) (license number ) and her current practice location is
9500 Gilman Dr, La Jolla, California. She can be reached at her office (for appointments etc.) via phone at
(858) 534-2230.
NPI number for Alycia Hernandez is 1104763986 and her current mailing address is 5818 Ventana Dr, Fontana, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104763986.
Provider's Profile
| Full Name | Alycia Hernandez |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 9500 Gilman Dr, La Jolla, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104763986
- Provider Enumeration Date: 04/30/2026
- Last Update Date: 05/01/2026
Medical Identifiers
Medical identifiers for Alycia Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104763986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Alycia 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 |
|---|
Alycia Hernandez,
5818 Ventana Dr,
Fontana, CA 92336-5612
Ph: Not Available | Alycia Hernandez,
9500 Gilman Dr,
La Jolla, CA 92093-0602
Ph: (858) 534-2230 |
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