Active NPI
Cyril J Fernandez, PA-C
- Medical Physician Assistant
- Puyallup, WA
National Provider Identifier
1609780493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 10221 156TH St E
Puyallup, WA 98374-5690 - Phone
- (253) 292-5297
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | WA | Primary |
Addresses
Primary practice location
10221 156TH St E
Puyallup, WA 98374-5690
Mailing address
10908 57TH Avenue CT E Apt C201
Puyallup, WA 98373-5718
Phone (760) 987-4505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1609780493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10908 57TH AVENUE CT E APT C201",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983735718",
"telephone_number": "760-987-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10221 156TH ST E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983745690",
"telephone_number": "253-292-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "CYRIL",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.