Active NPI
Dionisio A. Fernandes, MD
- Allergy Physician
- San Leandro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- A29416
- Practice address
- 13847 E 14TH St.
Ste 112
San Leandro, CA 94578 - Phone
- (510) 352-8585
- Fax
- (510) 352-8644
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | A29416 | CA | Primary |
Addresses
Primary practice location
13847 E 14TH St.
Ste 112
San Leandro, CA 94578
Mailing address
3448 Mowry Ave
Fremont, CA 94538-1422
Phone (510) 373-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0066330 | Medicaid | CA | |
| GR0066331 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29416 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baz Allergy, Asthma & Sinus Center | Allergy | Current | Accepting new patients |
| The Davis Street Community Center Incorporated | Current | Accepting new patients | |
| Baz Allergy, Asthma & Sinus Center, Inc. | Allergy | Current | Accepting new patients |
| Baz Allergy, Asthma & Sinus Center, Inc. | Allergy | Current | Accepting new patients |
| For Feet Sake Podiatry Group, Inc. | Past | Accepting new patients | |
| Children'S Hospital & Research Center at Oakland | Past | Accepting new patients | |
| Hayward Sisters Hospital | Past | Accepting new patients | |
| Eden Medical Center/San Leandro Hospital Campus | Past | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Locations
1860 Mowry Ave
Ste 400
Fremont, CA 94538
Phone (510) 284-4100
7471 N Fresno St
Fresno, CA 93720
Phone (559) 436-4500
1560 W Lacey Blvd
Ste 103
Hanford, CA 93230
Phone (559) 582-8500
1415 Badger Flat Rd
Ste A
Los Banos, CA 93635
Phone (209) 710-8684
3081 Teagarden St
San Leandro, CA 94577
Phone (510) 347-4620
Interoperability endpoints
- https://api.platform.athenahealth.com/9743/brand/1/csg/1/fhir/r4
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Allergy Physician
- Fresno, CA
- NPI 1710906995
-
- Federally Qualified Health Center (FQHC)
- San Leandro, CA
- NPI 1215358924
-
- Allergy Physician
- Clovis, CA
- NPI 1396328779
-
- Allergy Physician
- Turlock, CA
- NPI 1881074748
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1003961251
-
- Rehabilitation Hospital Unit
- San Leandro, CA
- NPI 1679523633
-
- Podiatrist
- Tracy, CA
- NPI 1811921851
-
- General Acute Care Hospital
- Hayward, CA
- NPI 1942298153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1285691121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3448 MOWRY AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381422",
"telephone_number": "510-373-3000",
"fax_number": "510-744-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13847 E 14TH ST.",
"address_2": "STE 112",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "94578",
"telephone_number": "510-352-8585",
"fax_number": "510-352-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDES",
"first_name": "DIONISIO",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "CA",
"license": "A29416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0066330",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0066331",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.