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

Mr. Rudy John Hernandez Jr.

Individual provider Adult Psychiatric/Mental Health Registered Nurse · NPI 1124876800

Mr. Rudy John Hernandez Jr. is an Adult Psychiatric/Mental Health Registered Nurse in Crestline, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 1382
Crestline, CA 92325-1382
Phone: (951) 544-0200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0809X · Licence 95044697 (CA)

Record details

NPI number1124876800
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024