Terrelyn C Fernandez, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA13073 Issued in CA

Practice address

1620 Pennsylvania Ave Ste C
Fairfield, CA 94533-3509

Phone

(707) 428-4878

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215061775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 PENNSYLVANIA AVE STE C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333509",
            "telephone_number": "707-428-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 PENNSYLVANIA AVE STE C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333509",
            "telephone_number": "707-428-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "TERRELYN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA13073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PA13073",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felton Institute
• Megan Rue Fenyoe, LCSW
• Cassidy Ferguson
• Elizabeth W. Fernandes, MD
• Angelina Fernandez
• Yasmeen Fernandez
• Yosselyn Fernandez
• Leah Ferrell
• Daniel P Ferrick, M.D.
• Carl Leonard Fessenden, CADC-II

• Medical Physician Assistant in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.