Miguel A Mendez-Fernandez, M.D

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

C41376 Issued in CA

Practice address

2439 Sonoma St
Suite 101
Redding, CA 96001-3026

Phone

(530) 241-1300

Fax

(530) 241-0200

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Plastic Surgery Associates of Redding a Medical Corporation

  • Plastic Surgery Physician
  • Redding, CA
  • NPI 1710035035
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346254380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 SONOMA ST",
            "address_2": "SUITE 101",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013026",
            "telephone_number": "530-241-1300",
            "fax_number": "530-241-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 SONOMA ST",
            "address_2": "SUITE 101",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013026",
            "telephone_number": "530-241-1300",
            "fax_number": "530-241-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ-FERNANDEZ",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "C41376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C413760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Renee Menard
• Jenna Rose Menard, MA
• Steven Mendelsohn, M.D.
• Connor Mendenhall, CWC
• Kristina Mendenhall
• Allen Brent Mendez, M.D.
• Dorris Mendonca, FAMILY NURSE PRACTIT
• Renee Marie Mendonsa, P.A.
• Brenda Mendoza
• Hailey Rose Mendoza

• Plastic Surgery Physician in Redding, CA
• Providers in Redding, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.