Active NPI
Frederick Fernandez
- Family Nurse Practitioner
- Winnetka, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95001377
- Practice address
- 20800 Sherman Way
Winnetka, CA 91306-2707 - Phone
- (818) 883-2273
- NPI assigned
- Oct 8, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95001377 | CA | Primary |
Addresses
Primary practice location
20800 Sherman Way
Winnetka, CA 91306-2707
Mailing address
20800 Sherman Way
Winnetka, CA 91306-2707
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Barranca St
West Covina, CA 91791-1637
Phone (626) 377-7608
10570 Foothill Blvd
Suite 210
Rancho Cucamonga, CA 91730-3876
Phone (909) 991-7577
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Care MD Medical Group | Family | Current | Accepting new patients |
| Advanced Practitioner Medical Group - a Professional Nursing Corp | Family | Current | Accepting new patients |
Locations
10570 Foothill Blvd
Ste 210
Rancho Cucamonga, CA 91730
Phone (909) 991-7577
100 N Barranca St
Ste 900J
West Covina, CA 91791
Phone (626) 377-7608
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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- Rancho Cucamonga, CA
- NPI 1861069957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413417600000",
"number": "1811390651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20800 SHERMAN WAY",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913062707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20800 SHERMAN WAY",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913062707",
"telephone_number": "818-883-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "FREDERICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-08",
"last_updated": "2014-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95001377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnetka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.