Myrna Fernandez, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT-29396 Issued in CA

Practice address

24401 Kings VW
Laguna Niguel, CA 92677-7819

Phone

(951) 813-1720

NPI assigned

Oct 31, 2017

Last updated

Oct 31, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Recovery Foundation 22

  • Behavioral Neurology & Neuropsychiatry Physician
  • Rancho Santa Margarita, CA
  • NPI 1568024263
  NPD Authorized official

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1245742113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 KINGS VW",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777819",
            "telephone_number": "951-813-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 KINGS VW",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777819",
            "telephone_number": "951-813-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MYRNA",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT-29396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahim Faiz, TRANSLATOR
• Azadeh Farasat
• Fariba Bigdeli DDS a Professional Corporation (Laguna Dental & Orthodontics)
• Erin Fennell, LMFT
• Stephanie Anne Reich Fermelia, LCSW
• Brooke Carrington Ferrell
• Ashley Dean Fick, PSY.D.
• Paul Fick, PH.D.
• Mary Elizabeth Fiedler, DDS
• Firstsight Vision Services, Inc.

• Licensed Psychiatric Technician in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.