Individual provider · Type 1 NPI

Nicole Hernandez

Physician Assistant · Los Angeles, CA

NPI number 1902315427 Active · reactivated Sep 23, 2020

Practice location

955 Carrillo Dr Ste 300
Los Angeles, CA 90048-5400

Mailing address

1086 S Fairfax Ave
Los Angeles, CA 90019-4401

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA58000 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1902315427

Nicole Hernandez's National Provider Identifier is 1902315427, issued on Sep 27, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 23, 2025.