Individual provider Active NPI

Erick Eduardo Fernandez Vidales, FNP

  • Family Nurse Practitioner
  • Palmdale, CA
National Provider Identifier
1679358816
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95035410 Issued in CA
Practice address
38440 5TH St W
Palmdale, CA 93551-4498
Phone
(661) 214-7718
Fax
(661) 214-7719
NPI assigned
Aug 28, 2023
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95035410 CA Primary

Addresses

Primary practice location

38440 5TH St W
Palmdale, CA 93551-4498

Mailing address

38440 5TH St W
Palmdale, CA 93551-4498
Phone (661) 214-7718

Other practice location 1

8100 California City Blvd
California City, CA 93505-2648
Phone (818) 651-6608

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029002745 CA Practitioner - Nurse Practitioner 4587153697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cal City Urgent CareGroup PAC ID 7315300464, 2 clinicians

Practice addresses (Care Compare)

8100 California City Blvd
California City, CA 93505-2648
Phone (818) 651-6608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95035410CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cal City Urgent Care CurrentSince Sep 11, 2025 Accepting new patients
Accel Medical Group Inc CurrentSince Jan 7, 2026 Accepting new patients

Locations

8100 California City Blvd
California City, CA 93505
Phone (760) 979-1787

38440 5th St W
Palmdale, CA 93551
Phone (661) 214-7718

38440 5th St W
Ste A
Palmdale, CA 93551
Phone (661) 214-7718

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCHHDD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1679358816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38440 5TH ST W",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514498",
            "telephone_number": "661-214-7718",
            "fax_number": "661-214-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38440 5TH ST W",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514498",
            "telephone_number": "661-214-7718",
            "fax_number": "661-214-7719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 California City Blvd",
            "address_purpose": "LOCATION",
            "city": "California City",
            "state": "CA",
            "postal_code": "935052648",
            "country_code": "US",
            "telephone_number": "818-651-6608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ VIDALES",
        "first_name": "ERICK",
        "middle_name": "EDUARDO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95035410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.