Active NPI
Alisha Fernandez
- Physical Therapist
- Costa Mesa, CA
National Provider Identifier
1730502865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40744
- Practice address
- 422 Enclave Cir
Apt 202
Costa Mesa, CA 92626-8203 - Phone
- (714) 425-4183
- NPI assigned
- Jan 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40744 | CA | Primary |
Addresses
Primary practice location
422 Enclave Cir
Apt 202
Costa Mesa, CA 92626-8203
Mailing address
422 Enclave Circle
Apt 202
Costa Mesa, CA 92626
Phone (714) 425-4183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1730502865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 ENCLAVE CIRCLE",
"address_2": "APT 202",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92626",
"telephone_number": "714-425-4183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 ENCLAVE CIR",
"address_2": "APT 202",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926268203",
"telephone_number": "714-425-4183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "ALISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-24",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.