Active NPI
Myra Deanne Fernando, D.O.
- Child & Adolescent Psychiatry Physician
- Monterey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 15728
- Practice address
- 576 Hartnell St Ste 300
Monterey, CA 93940-2887 - Phone
- (831) 625-4600
- NPI assigned
- Apr 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | DO.000467 | LA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 15728 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
576 Hartnell St Ste 300
Monterey, CA 93940-2887
Mailing address
616 Sage CT
Pacific Grove, CA 93950-5032
Phone (707) 853-6983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2300393 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
576 Hartnell St
Suite 300
Monterey, CA 93940-2887
Phone (831) 625-4600
Hospital & facility affiliations
- Community Hospital of the Monterey Peninsula
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital of the Monterey Peninsula | Current | Accepting new patients | |
| Community Hospital of the Monterey Peninsula | Current | Accepting new patients |
Locations
576 Hartnell St
Ste 300
Monterey, CA 93940
Phone (831) 625-4600
23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708
576 Hartnell St
Monterey, CA 93940
Phone (831) 625-4600
2 Upper Ragsdale Dr
Bldg B
Monterey, CA 93940
Phone (831) 643-6700
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1225285810
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Monterey, CA
- NPI 1679562169
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1528325883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 SAGE CT",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939505032",
"telephone_number": "707-853-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 HARTNELL ST STE 300",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939402887",
"telephone_number": "831-625-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDO",
"first_name": "MYRA",
"middle_name": "DEANNE",
"name_prefix": "Miss",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "LA",
"license": "DO.000467",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "15728",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2300393",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.