Dr Fernandez Family Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0101039947 Issued in VA

Legal business name

DR FERNANDEZ FAMILY CLINIC LLC

Practice address

2946 Sleepy Hollow Rd
Suite B-Basement
Falls Church, VA 22044-2003

Phone

(703) 417-9678

NPI assigned

May 2, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fausto D Fernandez, MD

Title

Medical Director

Phone

(703) 417-9678

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1053847699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 SLEEPY HOLLOW RD",
            "address_2": "SUITE B-BASEMENT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442003",
            "telephone_number": "703-417-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 SLEEPY HOLLOW RD",
            "address_2": "SUITE B-BASEMENT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442003",
            "telephone_number": "703-417-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR FERNANDEZ FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "FAUSTO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-417-9678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101039947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Rae Doyle, DVM
• Lara Doyle, LCSW
• Margaret Ready Doyle, CRNP
• Carolyn Jean Dozier, L.C.S.W.
• Dr Edwin Siegel PC
• Dr Matthew J Keast LTD
• Dr Toothfairy PC
• Dr. Albert M. Boyce,D.D.S.,LTD
• Dr. Ted Chen, O.D., P.C.
• Cynthia Ann Drain, LCSW

• Primary Care Clinic/Center in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.