Active NPI
Michael L Fernandez
- Rehabilitation Practitioner
- Claremont, CA
National Provider Identifier
1104438431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2243 N Mountain Ave
Claremont, CA 91711-1586 - Phone
- (909) 447-5346
- NPI assigned
- Aug 18, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
2243 N Mountain Ave
Claremont, CA 91711-1586
Mailing address
5762 Beaver Springs CT
Chino Hills, CA 91709-7980
Phone (909) 238-9383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184134033 | Other | CA | GARCES RESIDENTIAL CARE SERVICES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EXYM | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garces Residential Care Services | Past | Accepting new patients |
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Claremont, CA
- NPI 1184134033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1104438431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5762 BEAVER SPRINGS CT",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917097980",
"telephone_number": "909-238-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2243 N MOUNTAIN AVE",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917111586",
"telephone_number": "909-447-5346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "MICHAEL",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GARCES RESIDENTIAL CARE SERVICES",
"identifier": "1184134033",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EXYM",
"affiliation": "N",
"endpointDescription": "Electronic Health Records",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2243 N Mountain Ave",
"city": "Claremont",
"state": "CA",
"country_code": "US",
"postal_code": "917111586",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.