Marisol Fernandez, SFIDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

5929 Denver Ave
Los Angeles, CA 90044-6319

Phone

(310) 740-5109

NPI assigned

Dec 17, 2014

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

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1326446709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 DENVER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900446319",
            "telephone_number": "310-740-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 DENVER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900446319",
            "telephone_number": "310-740-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARISOL",
        "credential": "SFIDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Fernandez
• Maria D Fernandez
• Maricela Fernandez
• Maricela Fernandez
• Marie Rochelle Fernandez, PT
• Mark Fernandez
• Miguel Angel Fernandez
• Miranda Fernandez
• Nancy Fernandez
• Omar J Fernandez, D.D.S

• Independent Duty Corpsman in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.