Active NPI
Giselle Marlene Fernandez
- Case Manager/Care Coordinator
- San Diego, CA
National Provider Identifier
1235893322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 8910 Clairemont Mesa Blvd
San Diego, CA 92123-1104 - Phone
- (858) 514-5144
- NPI assigned
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Peer Specialist | 175T00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
8910 Clairemont Mesa Blvd
San Diego, CA 92123-1104
Mailing address
8910 Clairemont Mesa Blvd
San Diego, CA 92123-1104
Phone (858) 514-5144
Other practice location 1
8755 Aero Dr Ste 306
San Diego, CA 92123-1764
Phone (858) 634-1100
Other practice location 2
310 3rd Ave Ste B8
Chula Vista, CA 91910-3990
Phone (855) 223-7123
Other practice location 3
1465 30th St Ste K
San Diego, CA 92154-3497
Phone (619) 428-1000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1235893322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8910 CLAIREMONT MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231104",
"telephone_number": "858-514-5144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8910 CLAIREMONT MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231104",
"telephone_number": "858-514-5144"
}
],
"practiceLocations": [
{
"address_1": "8755 Aero Dr Ste 306",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231764",
"country_code": "US",
"telephone_number": "858-634-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 3rd Ave Ste B8",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919103990",
"country_code": "US",
"telephone_number": "855-223-7123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1465 30th St Ste K",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921543497",
"country_code": "US",
"telephone_number": "619-428-1000",
"fax_number": "619-428-1091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "GISELLE",
"middle_name": "MARLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.