Individual provider Active NPI

Cesar Octavio Fernandez, DDS

  • Dentist
  • Chico, CA
National Provider Identifier
1376300962
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
109923 Issued in CA
Practice address
845 W East Ave
Chico, CA 95926-2002
Phone
(530) 896-9400
Fax
(530) 899-5162
NPI assigned
Feb 29, 2024
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 109923 CA Primary

Addresses

Primary practice location

845 W East Ave
Chico, CA 95926-2002

Mailing address

845 W East Ave
Chico, CA 95926-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709003457 TX Practitioner - Dentist 8628513165 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109923CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Indian Health Inc Current Accepting new patients
Northern Valley Indian Health Inc CurrentSince Jul 22, 2024 Accepting new patients
Sireesha Penumetcha, DDS PC Dentist CurrentSince Mar 3, 2024 Accepting new patients

Locations

1990 Concord Ave
Chico, CA 95928
Phone (530) 809-3300

845 W East Ave
Chico, CA 95926
Phone (530) 896-9400

4720 Elk Grove Blvd
Ste 170
Elk Grove, CA 95758
Phone (916) 691-9191

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

Interoperability endpoints

  • Direct secure messaging: cesar.fernandez@nvih.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1376300962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 W EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262002",
            "telephone_number": "530-896-9400",
            "fax_number": "530-899-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "CESAR",
        "middle_name": "OCTAVIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-29",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.