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

Juan Jose Hernandez, PA-C, MS

Individual provider Physician Assistant · NPI 1689358186

Juan Jose Hernandez, PA-C, MS is a Physician Assistant in Salt Lake City, Utah. Graduated from Rutgers New Jersey Medical School in 2023, 3 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Trained at
Rutgers New Jersey Medical School
Licensed in
UT
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

5171 S Cottonwood St Ste 910
Salt Lake City, UT 84107-5759
Phone: (801) 507-9950
Fax: (801) 507-1492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1055 N 500 W Ste 121, Provo, UT 84604-3305 — (801) 373-7350

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13448852-1206 (UT)

Record details

NPI number1689358186
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MS
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2023 (3 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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