Geover Fernandez, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

A103070 Issued in CA

Practice address

520 N Prospect Ave
Suite 302
Redondo Beach, CA 90277-3041

Phone

(310) 798-1515

Fax

(310) 798-3131

NPI assigned

Jul 10, 2006

Last updated

Jan 2, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Rutgers New Jersey Medical School, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William J Wickwire M D Inc a Professional CorporationGroup PAC ID 7315974375, 10 clinicians

Dermatology Institute for Skin CancerGroup PAC ID 7214466309, 7 clinicians

Ravi Patel M D IncGroup PAC ID 0042124497, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.96 of 100Reported as group

Quality

87.83

Promoting interoperability

90

Improvement activities

40

Cost

78.29

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00364

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology Institute for Skin Cancer

  • Dermatology Physician
  • Bakersfield, CA
  • NPI 1437903481
  Medicare reassignment Care Compare group NPD Authorized official
• Ravi Patel M.D. Inc

  dba Comprehensive Blood & Cancer Center

  • Specialist
  • Bakersfield, CA
  • NPI 1912978834
  Medicare reassignment Care Compare group NPD
• William J Wickwire M D Inc a Professional Corporation

  dba Beach Cities Dematology Med Center

  • Dermatology Physician
  • Redondo Beach, CA
  • NPI 1326119165
  Medicare reassignment Care Compare group
• Los Angeles ENT Facial Plastics Center, Inc

  • Medical Specialty Clinic/Center
  • Redondo Beach, CA
  • NPI 1225463797
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1639103138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVE",
            "address_2": "SUITE 302",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773041",
            "telephone_number": "310-798-1515",
            "fax_number": "310-798-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVE",
            "address_2": "SUITE 302",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773041",
            "telephone_number": "310-798-1515",
            "fax_number": "310-798-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "GEOVER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A103070",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A103070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00980455",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Feldman, RD
• Wenqi Feng
• Diane Marie Ferguson, M.D.
• Genevieve Ferland, D.P.T.
• Catherine Fernandez
• Jessica Fernandez
• Kasey Fernandez
• Mike Fernandez, DACM, LAC
• Amanda Ferrara, LMFT#125876
• Jennifer Amy Fields Ferris, LMFT , ATR

• MOHS-Micrographic Surgery Physician in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.

Verify at the official NPI Registry.