| Gabriel Hernandez, NP | |
|
223 W Cole Blvd, Calexico, CA 92231-9722 | |
| (760) 357-2020 | |
| (760) 355-9521 |
| Full Name | Gabriel Hernandez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 223 W Cole Blvd, Calexico, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164043782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95009118 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bl Anderson Medical Corporation | 5395176473 | 7 |
| Entity Name | Imperial Valley Family Care Medical Group A P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275581894 PECOS PAC ID: 0446243083 Enrollment ID: O20040407001358 |
| Entity Name | Tyson Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376053843 PECOS PAC ID: 3072870112 Enrollment ID: O20171128003449 |
| Entity Name | Bl Anderson Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821627639 PECOS PAC ID: 5395176473 Enrollment ID: O20200505000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel Hernandez, NP 223 W Cole Blvd, Calexico, CA 92231-9722 Ph: (607) 357-2020 | Gabriel Hernandez, NP 223 W Cole Blvd, Calexico, CA 92231-9722 Ph: (760) 357-2020 |
Mary I Gutierrez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 408 E 3rd St Ste B, Calexico, CA 92231 Phone: 760-357-9962 Fax: 760-768-1714 | |
Susan J Dean, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450 E Birch St, Calexico, CA 92231 Phone: 760-768-6262 Fax: 760-768-6290 | |
Gerardo Jesus Martinez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 760-357-2020 | |
Jacqueline Villanueva Felix, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1137 Paseo Camino Real, Calexico, CA 92231 Phone: 760-679-6630 | |
Mrs. Samantha Castro, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 E Birch St Ste A, Calexico, CA 92231 Phone: 760-482-5000 Fax: 760-337-9199 | |
Mr. Nelson Omar Rios, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 W Cole Blvd, Calexico, CA 92231 Phone: 912-251-2567 |