Fernandes Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

FERNANDES ORTHODONTICS

Practice address

8540 S Sepulveda Blvd Ste 1012
Los Angeles, CA 90045-3819

Phone

(310) 670-1411

Fax

(310) 670-1968

NPI assigned

Oct 18, 2024

Organization subpart

Yes

Parent organization

FERNANDES ORTHODONTICSAs reported in NPPES

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

Authorized official

Name

Avid Segura

Title

Dental Assistant

Phone

(310) 670-1411

Specialties & licenses 1

Addresses

Part of

Fernandes Orthodontics

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Baum, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
  • NPI 1841569233
  NPD (past)

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1346061793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 1012",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453819",
            "telephone_number": "310-670-1411",
            "fax_number": "310-670-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 1012",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453819",
            "telephone_number": "310-670-1411",
            "fax_number": "310-670-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDES ORTHODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FERNANDES ORTHODONTICS",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "SEGURA",
        "authorized_official_first_name": "AVID",
        "authorized_official_title_or_position": "DENTAL ASSISTANT",
        "authorized_official_telephone_number": "310-670-1411"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenny Alejandro Ferman
• David Edward Fermelia, M D
• Krystal Anne Felizmenio Fermin, MSW
• Ma Roxanne Fermin, O.D.
• Buffy Fermino
• Danielle Elizabeth Fernandes, M.D.
• Denecia Fernandes, RD
• Rodrigo Antonio Brant Fernandes, MD, PHD
• Ronald Fernandes
• Liliana Fernandez Alonso

• Orthodontics and Dentofacial Orthopedics Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.