Fulbert Brad Beltran Fernandez, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT36201 Issued in CA

Practice address

22524 Moneta Ave
Carson, CA 90745-3621

Phone

(760) 351-6862

NPI assigned

Jun 7, 2021

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1497322630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21143 HAWTHORNE BLVD # 491",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034615",
            "telephone_number": "760-351-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22524 MONETA AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453621",
            "telephone_number": "760-351-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "FULBERT BRAD",
        "middle_name": "BELTRAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT36201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cary Fang
• Johanna Fassbender
• Kelvin Deleno Felix
• Feliz Health Care, Inc
• Raulin Dadural Feria, APRN, FNP-BC
• Caitlynn Fernane
• Darren Ferns
• Jenny M Ferreira, HEALTH COACH
• Mark Ferrell
• Christine G Ferrer, D.C.

• Physical Medicine & Rehabilitation Physician in Carson, CA
• Providers in Carson, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.