Individual provider Active NPI

Maria Fernandez Renedo, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Merced, CA
National Provider Identifier
1437224946
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
C51936 Issued in CA
Practice address
750 W Olive Ave
Suite 102
Merced, CA 95348-2436
Phone
(209) 723-0011
Fax
(209) 233-9515
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C51936 CA Primary

Addresses

Primary practice location

750 W Olive Ave
Suite 102
Merced, CA 95348-2436

Mailing address

750 W Olive Ave
102
Merced, CA 95348-2436
Phone (209) 723-0011

Other identifiers 1

IdentifierTypeStateIssuer
00C519360MedicaidCA

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
I20070613000376 CA Practitioner - Endocrinology 8123126273 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C51936CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Family Health Centers Inc. CurrentSince Jan 1, 2019 Accepting new patients
Dignity Health Past Accepting new patients
Castle Family Health Centers Inc. Past Accepting new patients

Locations

3605 Hospital Rd
Atwater, CA 95301
Phone (209) 381-2000

1251 Grove Ave
Atwater, CA 95301
Phone (209) 358-8425

Interoperability endpoints

  • Direct secure messaging: maria.fernandezrenedo.p1@direct.castle.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1437224946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W OLIVE AVE",
            "address_2": "102",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482436",
            "telephone_number": "209-723-0011",
            "fax_number": "209-233-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W OLIVE AVE",
            "address_2": "SUITE 102",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482436",
            "telephone_number": "209-723-0011",
            "fax_number": "209-233-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ RENEDO",
        "first_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "C51936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C519360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.