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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679100598

Dr. Mario Hernandez, MD is an Anesthesiology in Pasadena, California. Qualified in 2020, 6 years ago. Practices with Pacific Valley Medical Group, a 104-clinician group and accepts Medicare assignment. Licensed in California and Colorado.

Years since qualifying
6
Licensed in
CA, CO
In the registry since
2020
Specialties on file
2
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

100 W California Blvd
Pasadena, CA 91105-3010
Phone: (720) 341-0017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A189637 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TL000---- (CO)

Record details

NPI number1679100598
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2020
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address1960 N Ogden St Ste 400, Denver, CO 80218-3670

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pacific Valley Medical Group — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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