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MR. RICHARD DESTRADE HERNANDEZ SR. PA
NPI 1407684533
Physician Assistant in Phoenix, AZ

Active since July 22, 2024
1847 W HEATHERBRAE DR, PHOENIX, AZ 85015(602) 274-2100(602) 535-3166 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Richard Destrade Hernandez Sr. Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RICHARD DESTRADE HERNANDEZ SR. PA (NPI 1407684533) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (10419) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1407684533
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RICHARD DESTRADE HERNANDEZ SR.Credential: PA
Location Address1847 W HEATHERBRAE DRPhoenix, AZ 85015-4764
Mailing Address1847 W Heatherbrae DrPhoenix, AZ 85015-4764 · (602) 274-2100 · Fax (602) 535-3166
Phone(602) 274-2100
Fax(602) 535-3166
Sole ProprietorYes
Enumeration DateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1407684533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 10419
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1847 W HEATHERBRAE DR, Phoenix, AZ 85015
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HA DUC SEUNG FNP
Nurse Practitioner (Family)
1847 W HEATHERBRAE DR
PHOENIX, AZ 85015
Maricopa County (602) 274-2100
MR. HUGO ROBERTO RODRIGUEZ MSPT
Physical Therapist
1847 W HEATHERBRAE DR, SUITE B
PHOENIX, AZ 85015
Maricopa County (602) 285-0949
JILL OCANO FNP BC
Nurse Practitioner
1847 W HEATHERBRAE DR, SUITE A
PHOENIX, AZ 85015
Maricopa County (602) 274-2100
MS. CLAIRE JUNE KRONENBERGER PA-C
Physician Assistant
1847 W HEATHERBRAE DR
PHOENIX, AZ 85015
Maricopa County (602) 274-2100
ARIZNA MEDICAL CLINIC LLC
Family Medicine
1847 W HEATHERBRAE DR
PHOENIX, AZ 85015
Maricopa County (602) 274-2100
OLIVIA MEERS PA
Physician Assistant
1847 W HEATHERBRAE DR
PHOENIX, AZ 85015
Maricopa County (602) 274-2100
DAWIT SAHLE
Nurse Practitioner (Family)
1847 W HEATHERBRAE DR
PHOENIX, AZ 85015
Maricopa County (602) 274-2100
MARK A RHODEY M.S.P.T.
Physical Therapist
1847 W HEATHERBRAE DR, SUITE B
PHOENIX, AZ 85015
Maricopa County (602) 285-0949

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Destrade Hernandez's NPI number?

The NPI number for Richard Destrade Hernandez is 1407684533. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Richard Destrade Hernandez located?

Richard Destrade Hernandez practices at 1847 W Heatherbrae Dr, Phoenix, AZ 85015. The listed phone number is (602) 274-2100.

What is Richard Destrade Hernandez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Richard Destrade Hernandez was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.