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JACQUELINE HERNANDEZ PA
NPI 1528839222
Physician Assistant in San Luis Obispo, CA

Active since January 11, 2024
705 GRAND AVE, SAN LUIS OBISPO, CA 93401(805) 544-2478 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Hernandez Pa NPPES

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

JACQUELINE HERNANDEZ PA (NPI 1528839222) is an individual physician assistant in San Luis Obispo, California, licensed in California (PA67812) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1528839222
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELINE HERNANDEZCredential: PA
Location Address705 GRAND AVESan Luis Obispo, CA 93401-2639
Mailing Address5511 Crystal Cascade LnBakersfield, CA 93313-4874 · (661) 817-5159
Phone(805) 544-2478
Sole ProprietorNo
Enumeration DateJanuary 11, 2024
Last NPPES UpdateApril 1, 2026
NPPES CertifiedApril 1, 2026
✔ NPI 1528839222 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 CA · PA67812
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.
705 GRAND AVE, San Luis Obispo, CA 93401
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Other Providers at the Same Location NPPES 5

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

MICHELE L DAY-BROOKS RN/FNP
Nurse Practitioner (Family)
705 GRAND AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-2478
BONNIE HEIKES P.A.-C
Physician Assistant (Medical)
705 GRAND AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-2478
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
Clinic/Center
705 GRAND AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-2498
MRS. DANIELA JAMES
Student in an Organized Health Care Education/Training Program
705 GRAND AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-2478
MELISSA STATTON NP-C, MSN, RN
Nurse Practitioner (Family)
705 GRAND AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-2478

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 Jacqueline Hernandez's NPI number?

The NPI number for Jacqueline Hernandez is 1528839222. It was assigned to this individual provider in the NPPES registry on January 11, 2024.

Where is Jacqueline Hernandez located?

Jacqueline Hernandez practices at 705 Grand Ave, San Luis Obispo, CA 93401. The listed phone number is (805) 544-2478.

What is Jacqueline 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 Jacqueline Hernandez was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.