Active NPI
Ginny Gayle Fernandez, N.P.
- Obstetrics & Gynecology Nurse Practitioner
- Fresno, CA
National Provider Identifier
1164543773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 280892
- Practice address
- 7075 N Fresno St
102
Fresno, CA 93720-6851 - Phone
- (559) 299-8800
- Fax
- (559) 299-9944
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 280892 | CA | Primary |
Addresses
Primary practice location
7075 N Fresno St
102
Fresno, CA 93720-6851
Mailing address
190 Jordan Ave
Clovis, CA 93611-7086
Phone (559) 299-9905
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPF8889 | Other | CA | NURSE PRACTITIONER |
| 280892 | Other | CA | CALIFORNIA LICENSE |
Other names 1
- Ginny Gayle Desimas
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280892 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242604800000",
"number": "1164543773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 JORDAN AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936117086",
"telephone_number": "559-299-9905",
"fax_number": "559-299-8839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7075 N FRESNO ST",
"address_2": "102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937206851",
"telephone_number": "559-299-8800",
"fax_number": "559-299-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "GINNY",
"middle_name": "GAYLE",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2009-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "280892",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER",
"identifier": "NPF8889",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE",
"identifier": "280892",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GINNY",
"last_name": "DESIMAS",
"middle_name": "GAYLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.