Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gustavo Hernandez, MD

Individual provider Hospitalist Physician · NPI 1265963961

Dr. Gustavo Hernandez, MD is an Internal Medicine in Dallas, Texas. Qualified in 2020, 6 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6201 Harry Hines Blvd
Dallas, TX 75390-0010
Phone: (214) 633-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1800 Orleans St, Baltimore, MD 21287-0010 — (410) 955-7911
  • 6201 Harry Hines Blvd, Dallas, TX 75235-5202 — (214) 633-5555

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence S5652 (TX)

Record details

NPI number1265963961
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESOctober 25, 2024
Certification dateJuly 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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