Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE HERNANDEZ
DeactivatedNICOLE HERNANDEZ is a Physician Assistant healthcare provider located in LOS ANGELES, California. NPI 1902315427 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · LOS ANGELES, CA
This NPI has been deactivated.
The record was deactivated on May 11, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1902315427
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2017 (2.620218579235 yrs)
- Last Updated
- Jul 23, 2025
- Deactivated
- May 11, 2020
- License
-
PA58000 (CA)
Practice Information
- Address
-
955 CARRILLO DR STE 300LOS ANGELES, CA, 900485400Browse CA providers · Browse ZIP 90048
- Phone
- 4242580124
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL PARK | P.A. | 1538162631 |
| DOMINICK A D'ANTUONO | PA-C | 1801898341 |
| MS. CARMEL NICHOLE RAPHAEL | PA | 1801883038 |
| MR. JOHNNY-AN THANH PHAM | PA C | 1457332504 |
| MISS JOVANA BALKIS | PA-C | 1235116039 |
| NGOC DUNG NGUYEN | P.A.-C | 1518931476 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.