Healthcare Provider Details

I. General information

NPI: 1699628107
Provider Name (Legal Business Name): PATRICK HERNANDEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 CONSTITUTION BLVD
SALINAS CA
93906-3100
US

IV. Provider business mailing address

1091 CYPRESS ST
HOLLISTER CA
95023-5271
US

V. Phone/Fax

Practice location:
  • Phone: 831-902-5377
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number28869
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: