Eliza Marie Fernando, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A61717 Issued in CA

Practice address

12444 Washington Blvd
Whittier, CA 90602-1005

Phone

(562) 698-0161

Fax

(562) 698-8740

NPI assigned

May 4, 2007

Last updated

Apr 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Community Medical Wellness Center

  • Pediatrics Physician
  • Whittier, CA
  • NPI 1609972777
  NPD Authorized official
• St Francis Medical Center

  • Long Term Care Hospital
  • Lynwood, CA
  • NPI 1346378270
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1750593349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13444 DARVALLE ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036323",
            "telephone_number": "562-229-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021005",
            "telephone_number": "562-698-0161",
            "fax_number": "562-698-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "ELIZA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A61717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fenal Shah DDS Inc
• Douglas Joel Fendrich, BC HIS
• Michelle Teressa Fernandes, L.C.S.W.
• Nathalie Fernandez Esparza
• Charles Ernest Fernandez, DC
• Jose Daniel Ferras
• Elizabeth Tang Ferreira, MD
• Lucas Ferreira
• April Marie Fierro, LCSW
• Marley Elise Figueroa-Munoz

• Pediatrics Physician in Whittier, CA
• Providers in Whittier, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.