Marion Fernandez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC37000 Issued in CA

Practice address

1161 Myrna Way
Rodeo, CA 94572-1948

Phone

(510) 418-0171

NPI assigned

Jun 24, 2024

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellyson Chiropractic CorporationGroup PAC ID 8820030083, 2 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ellyson Chiropractic Corporation

  • Chiropractor
  • Marysville, CA
  • NPI 1740310432
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1639913718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 MYRNA WAY",
            "city": "RODEO",
            "state": "CA",
            "postal_code": "945721948",
            "telephone_number": "510-418-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 MYRNA WAY",
            "city": "RODEO",
            "state": "CA",
            "postal_code": "945721948",
            "telephone_number": "510-418-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARION",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaynell Nicole Dodds, RN
• Jerrilee Ann Doss, D.D.S.
• James William Edwards, LCSW
• Yamina S El-Amin
• Amy Marie Fernandez
• Jackie Fickes
• Freedom Mobility Center, LLC
• Luz Amanda Guzman
• Hamilton Medical Products, Inc.
• Gregory Dennis Hensley

• Chiropractor in Rodeo, CA
• Providers in Rodeo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.