Amor T Fernando MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A39704 Issued in CA

Legal business name

AMOR T FERNANDO MD INC

Practice address

3636 N 1St St
Suite 165
Fresno, CA 93726-6800

Phone

(559) 222-3237

NPI assigned

Jan 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Amor Tabocol Fernando, MD

Title

President

Phone

(559) 222-3237

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1124359187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST",
            "address_2": "SUITE 165",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266800",
            "telephone_number": "559-222-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST",
            "address_2": "SUITE 165",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266800",
            "telephone_number": "559-222-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOR T FERNANDO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "AMOR",
        "authorized_official_middle_name": "TABOCOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-222-3237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A39704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A39704",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fresno, CA
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.