Johannes Aquino Fernandez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

794079 Issued in CA

Practice address

1700 S Amphlett Blvd Ste 300
San Mateo, CA 94402-2726

Phone

(650) 504-6469

NPI assigned

Apr 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1063100998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36838 CHERRY ST APT 119",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603758",
            "telephone_number": "510-709-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S AMPHLETT BLVD STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022726",
            "telephone_number": "650-504-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JOHANNES",
        "middle_name": "AQUINO",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "794079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqlyn Fenton, DPT
• Marilou Anne Fermin, RN
• Ingrid Fernandez-Pannitto
• Irene Fernandez
• Janice Jean Fernandez
• Kevin Daniel Fernandez
• Mona Lisa Fernandez
• Robert Mario Fernandez, DDS
• Tita Rose Fernandez
• Yvette J Fernandez

• Registered Nurse in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.