Giselle Fernandez, DDS
Individual provider Active NPI General Practice Dentistry · Fillmore, CA
NPI 1619769353 · NPPES record last updated Aug 7, 2026
Key facts
- NPI
- 1619769353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 113447 (CA)
- Practice address
- 355 Central Ave
Fillmore, CA 93015-1920 - Phone
- (805) 524-4926
- Fax
- (805) 524-4137
- NPI assigned
- May 19, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 113447 | CA | Yes |
Addresses
Primary practice location
355 Central Ave
Fillmore, CA 93015-1920
Mailing address
1040 Flynn Rd
Camarillo, CA 93012-8705
Phone (805) 673-3930
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All providers in Fillmore, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.