# CAMERON PHILLIP HERNANDEZ

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457873275
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10002316A | IN | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |

## Other

- **Enumeration date:** 07/13/2017
- **Last updated:** 05/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000001537485 | ANTHEM PTAN | IN |
| 05 | — | 300009880 | — | IN |
| 01 | — | Q00147578 | RAILROAD PTAN | IN |