Active NPI
Lus Biana Fernandez
- Dental Assistant
- San Jose, CA
National Provider Identifier
1790207249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 73771
- Practice address
- 3571 N 1St St Ste 203
San Jose, CA 95134-1803 - Phone
- (408) 230-2432
- NPI assigned
- Jul 15, 2017
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 73771 | CA | Primary |
Addresses
Primary practice location
3571 N 1St St Ste 203
San Jose, CA 95134-1803
Mailing address
3571 N 1St St Ste 203
San Jose, CA 95134-1803
Phone (408) 230-2432
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73771 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500076800000",
"number": "1790207249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3571 N 1ST ST STE 203",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951341803",
"telephone_number": "408-230-2432",
"fax_number": "408-230-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3571 N 1ST ST STE 203",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951341803",
"telephone_number": "408-230-2432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "LUS",
"middle_name": "BIANA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-15",
"last_updated": "2017-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "73771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.