Individual provider Active NPI

Rodrigo J Fernandez, MD

  • Nephrology Physician
  • Chula Vista, CA
National Provider Identifier
1366539793
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A44441 Issued in CA
Practice address
450 4TH Ave Ste 201
Chula Vista, CA 91910-4428
Phone
(619) 476-9054
Fax
(619) 476-9056
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X TL3179 WY
Nephrology Physician 207RN0300X A44441 CA Primary

Addresses

Primary practice location

450 4TH Ave Ste 201
Chula Vista, CA 91910-4428

Mailing address

450 4TH Ave Ste 201
Chula Vista, CA 91910-4428
Phone (619) 476-9054

Other identifiers 1

IdentifierTypeStateIssuer
00A444410MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519001659 CA Practitioner - Internal MedicinePractitioner - NeurologyPractitioner - Nephrology 7113918012 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

480 4TH Ave
Suite 516
Chula Vista, CA 91910-4414
Phone (619) 476-9054

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A44441CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health CurrentSince Sep 20, 2009 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Aug 30, 2010 Accepting new patients
Scripps Health CurrentSince Sep 20, 2009 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Current Accepting new patients
Leticia Uwedjojevwe MD Medical Corporation Current Accepting new patients
Scripps Health Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Regents of the University of California Past Accepting new patients
Great Plains of Cheyenne Co. Inc Past Accepting new patients

Locations

480 Fourth Ave
Ste 516
Chula Vista, CA 91910
Phone (619) 470-9054

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

655 Euclid Ave
Ste 207
National City, CA 91950
Phone (619) 470-9054

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

4060 4th Ave
Ste 220
San Diego, CA 92103
Phone (619) 299-2350

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rfernandez28456@scrippshlth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJJIBA/Endpoint/IJJIBA

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1366539793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 4TH AVE STE 201",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104428",
            "telephone_number": "619-476-9054",
            "fax_number": "619-476-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 4TH AVE STE 201",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104428",
            "telephone_number": "619-476-9054",
            "fax_number": "619-476-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RODRIGO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WY",
            "license": "TL3179",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A44441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A444410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.