Michael Fernandez

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1251419607 Issued in CA

Practice address

380 S Melrose Dr Ste 343
Vista, CA 92081-6641

Phone

(760) 470-5667

NPI assigned

Jan 31, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Innervations Therapy

  • Marriage & Family Therapist
  • Vista, CA
  • NPI 1629813845
  NPD

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1386457398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 S MELROSE DR STE 343",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816641",
            "telephone_number": "760-206-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S MELROSE DR STE 343",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816641",
            "telephone_number": "760-470-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": "1251419607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Ann Feig, L.A.C.
• Stacy K Felix, DMD
• Jeffrey Martin Ferber, MD
• Emily Fernandez, BS
• Gilbert Fernandez, PTA
• Natalie Kang Ferraiolo, M.D.
• Samantha Lee Ferrara, PA-C
• Jesah Ferrari
• Ofelia Figueroa-Gaytan
• Rachel Finch

• Nutritionist in Vista, CA
• Providers in Vista, CA by specialty
• Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.