Active NPI
Tony C. Fernandez, MD
- Occupational Medicine Physician
- Fresno, CA
National Provider Identifier
1285712190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- A78382
- Practice address
- 2555 S East Ave
Fresno, CA 93706-5104 - Phone
- (559) 499-2400
- Fax
- (559) 264-9241
- NPI assigned
- Nov 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | A78382 | CA | Primary |
| Internal Medicine Physician | 207R00000X | A78382 | CA |
Addresses
Primary practice location
2555 S East Ave
Fresno, CA 93706-5104
Mailing address
2555 S East Ave
Fresno, CA 93706-5104
Phone (559) 499-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A783820 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78382 | CA | MD | Marriage & Family Therapist |
| A78382 | CA | MD | Occupational Medicine Physician |
Interoperability endpoints
- tony.fernandez@4357.securemail.prognocis.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1285712190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 S EAST AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937065104",
"telephone_number": "559-499-2400",
"fax_number": "559-264-9241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 S EAST AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937065104",
"telephone_number": "559-499-2400",
"fax_number": "559-264-9241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "TONY",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "A78382",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A78382",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A783820",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.