Christian Jose Fernandez Medina

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B01996 Issued in NV

Practice address

2770 S Maryland Pkwy Ste 200
Las Vegas, NV 89109-1554

Phone

(702) 478-9594

NPI assigned

Sep 5, 2023

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

Enrolled in NV, FL2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Life Chiropractic College, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Golan Integrated Physical Medicine

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Las Vegas, NV
  • NPI 1497195580

  Chiropractor

  Medicare reassignment NPD
• Clermont Chiropractic Life Center

  • Chiropractor
  • Clermont, FL
  • NPI 1760495956
  Medicare reassignment
• Golan Integrated Physical Medicine

  • Physical Medicine & Rehabilitation Physician
  • Grand Rapids, MI
  • NPI 1316419260

  Chiropractor

  NPD
• Golan Integrated Physical Medicine

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Las Vegas, NV
  • NPI 1417479189
  NPD (past)

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1528844602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9599 W CHARLESTON BLVD APT 2161",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891176678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 S MARYLAND PKWY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091554",
            "telephone_number": "702-478-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ MEDINA",
        "first_name": "CHRISTIAN",
        "middle_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yenis M Fernandez Gutierrez
• Adis Yuliet Fernandez Laborda
• Ellesmer Fernandez Marquez
• Amanda Fernandez Marsal
• Glenda Fernandez Mayea
• Ariocha Fernandez Moliner
• Javier Adrian Fernandez Munoz
• Madiley Fernandez Nodarse
• Dayany Fernandez Pena
• Yasmany Fernandez Penalver

• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.