Active NPI
Ronald Fernandes
- Professional Counselor
- Los Angeles, CA
National Provider Identifier
1003356296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14111
- Practice address
- 2121 W Temple St
Los Angeles, CA 90026-4915 - Phone
- (213) 385-5100
- NPI assigned
- Mar 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14111 | CA | Primary |
| Professional Counselor | 101YP2500X | CP5873-R | NV | |
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
2121 W Temple St
Los Angeles, CA 90026-4915
Mailing address
67490 Rio Vista Dr
Cathedral City, CA 92234-8632
Phone (909) 646-0655
Other practice location 1
108 W Victoria St
Gardena, CA 90248-3523
Phone (310) 715-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Professional | Current | Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1003356296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67490 RIO VISTA DR",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922348632",
"telephone_number": "909-646-0655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 W TEMPLE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264915",
"telephone_number": "213-385-5100"
}
],
"practiceLocations": [
{
"address_1": "108 W Victoria St",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902483523",
"country_code": "US",
"telephone_number": "310-715-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDES",
"first_name": "RONALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-07",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "14111",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "CP5873-R",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.