John Fernandez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111525 Issued in FL

Practice address

3581 SW Archer Rd Ste 40
Gainesville, FL 32608-2428

Phone

(352) 888-4449

NPI assigned

Nov 28, 2018

Sex

Male

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Shands/Solantic Joint Venture, LLC

  • Urgent Care Clinic/Center
  • Gainesville, FL
  • NPI 1558595223
  Medicare reassignment
• Shands/Solantic Joint Venture, LLC

  dba CareSpot-Archer Road

  • Urgent Care Clinic/Center
  • Gainesville, FL
  • NPI 1346915295
  NPD

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1811467103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2956 NW 95TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472357",
            "telephone_number": "786-355-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 SW ARCHER RD STE 40",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082428",
            "telephone_number": "352-888-4449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2956 NW 95th Ter",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331472357",
            "country_code": "US",
            "telephone_number": "786-355-6477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JOHN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evaristo Fernandez Sada, M.D.
• Julie M Fernandez-Lang, D.O.
• Andreina Fernandez
• Erica Monique Fernandez, PHARM.D.
• Jacinto Fernandez
• Jorge Alberto Fernandez, MD
• Loretta Ellen Fernandez, PHARM.D.
• Mary Jo Frances Fernandez, PHD
• Melinda Williams Fernandez, MD
• Monica Fernandez, M.S.D

• Physician Assistant in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.