Individual provider Active NPI

Raymond C Fernandez, MD

  • Internal Medicine Physician
  • Laguna Hills, CA
National Provider Identifier
1629039532
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A042637 Issued in CA
Practice address
24221 Calle de la Louisa
Suite 200
Laguna Hills, CA 92653-7638
Phone
(949) 465-8155
Fax
(949) 465-8159
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A042637 CA Primary

Addresses

Primary practice location

24221 Calle de la Louisa
Suite 200
Laguna Hills, CA 92653-7638

Mailing address

24221 Calle de la Louisa
Suite 400
Laguna Hills, CA 92653-7638
Phone (949) 588-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as individual
Quality
72.91
Promoting interoperability
98
Improvement activities
40
Cost
73.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A042637CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1629039532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24221 CALLE DE LA LOUISA",
            "address_2": "SUITE 400",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537638",
            "telephone_number": "949-588-8700",
            "fax_number": "949-465-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24221 CALLE DE LA LOUISA",
            "address_2": "SUITE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537638",
            "telephone_number": "949-465-8155",
            "fax_number": "949-465-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RAYMOND",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A042637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.