Active NPI
Raquel Bethania Fernandez, M.D.
- Pediatrics Physician
- Torrance, CA
National Provider Identifier
1013163740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A103071
- Practice address
- 3400 Lomita Blvd Ste 301
Torrance, CA 90505-4971 - Phone
- (310) 517-1188
- Fax
- (310) 943-6522
- NPI assigned
- Aug 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A103071 | CA | Primary |
Addresses
Primary practice location
3400 Lomita Blvd Ste 301
Torrance, CA 90505-4971
Mailing address
3400 Lomita Blvd Ste 301
Torrance, CA 90505-4971
Phone (310) 517-1188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A103071 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Torrance Health Association Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Family Medicine Physician
- Torrance, CA
- NPI 1083903124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1013163740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 LOMITA BLVD STE 301",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054971",
"telephone_number": "310-517-1188",
"fax_number": "310-943-6522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 LOMITA BLVD STE 301",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054971",
"telephone_number": "310-517-1188",
"fax_number": "310-943-6522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "RAQUEL",
"middle_name": "BETHANIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A103071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.