Joanne Lynne Santarina Fernando, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54582 Issued in CA

Practice address

13962 Newport Ave Ste C
Tustin, CA 92780-7827

Phone

(714) 573-1086

Fax

(714) 573-8239

NPI assigned

Apr 17, 2008

Last updated

Jan 15, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Joanne Lynne S. Fernando,D.M.D.,Inc

  dba Tustin Dental Wellness

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1144520248
  NPD (past) Authorized official

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1811161292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13962 NEWPORT AVE STE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807827",
            "telephone_number": "714-573-1086",
            "fax_number": "714-573-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13962 NEWPORT AVE STE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807827",
            "telephone_number": "714-573-1086",
            "fax_number": "714-573-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "JOANNE LYNNE",
        "middle_name": "SANTARINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristyn Anne Fazzalaro, L.C.S.W.
• Kimberly Feld
• Steven Paul Ferdig, MPT, OCS
• Andrea Margarita Fernandez Palma
• Lesley Michelle Fernandez
• Ferraco, Inc. (Human Designs Prosthetic and Orthotic Laboratory)
• Grace Kathryn Ferraro, OTR
• Skyler Leilua Fesagaiga
• Fig Garden Medical Group
• Christine Chacon Figueroa, M.A.

• General Practice Dentistry in Tustin, CA
• Providers in Tustin, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.