| Erwin Cereno Hernandez, PA-C | |
|
17074 Devonshire St, Northridge, CA 91325-1617 | |
| (818) 428-1790 | |
| (888) 801-0607 |
| Full Name | Erwin Cereno Hernandez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 17074 Devonshire St, Northridge, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932493699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA21379 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Psychiatry And Mental Health A Physician Assistant Corporation | 8325531205 | 2 |
| Pantea Farhadi Md A Medical Corporation | 6305011545 | 4 |
| Entity Name | Mission City Community Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544 |
| Entity Name | Foothills Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100318000835 |
| Entity Name | Foothills Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100414000905 |
| Entity Name | Newcare Medical Group - a Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194039826 PECOS PAC ID: 6800070905 Enrollment ID: O20110414000570 |
| Entity Name | Pantea Farhadi MD a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689943946 PECOS PAC ID: 6305011545 Enrollment ID: O20111216000075 |
| Entity Name | Psychiatry and Mental Health a Physician Assistant Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538044565 PECOS PAC ID: 8325531205 Enrollment ID: O20260421000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Erwin Cereno Hernandez, PA-C 401 E Carrillo St, Santa Barbara, CA 93101-1460 Ph: (805) 563-3307 | Erwin Cereno Hernandez, PA-C 17074 Devonshire St, Northridge, CA 91325-1617 Ph: (818) 428-1790 |
Omar A Islas, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8330 Reseda Blvd, Northridge, CA 91324 Phone: 818-534-1820 |
Ashley Salin, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 18345 Sandringham Ct, Northridge, CA 91326 Phone: 818-522-9807 |
Emily Hannah Hernandez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11633 Killimore Ave, Northridge, CA 91326 Phone: 818-521-9785 |
Shant Boshnakian, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 |
Josue Noe Cruz, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8330 Reseda Blvd, Northridge, CA 91324 Phone: 818-534-1820 Fax: 818-936-0108 |
Frank Gregory Abt, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 |
Luz E Alas, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8330 Reseda Blvd, Northridge, CA 91324 Phone: 818-534-1820 Fax: 818-936-0108 |