Active NPI
Rosalie P Fernandez, PSYCHIATRIC TECH
- Other Technician
- Oxnard, CA
National Provider Identifier
1831487123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- PT27196
- Practice address
- 1211 Maria Way
Oxnard, CA 93030-5045 - Phone
- (805) 603-8655
- NPI assigned
- Jul 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | PT27196 | CA | Primary |
Addresses
Primary practice location
1211 Maria Way
Oxnard, CA 93030-5045
Mailing address
1211 Maria Way
Oxnard, CA 93030-5045
Phone (805) 603-8655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT27196 | Other | CA | PSYCHIATRIC TECHNICIAN |
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 |
|---|---|---|---|
| PT27196 | CA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1831487123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 MARIA WAY",
"city": "OXNARD",
"state": "CA",
"postal_code": "930305045",
"telephone_number": "805-603-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 MARIA WAY",
"city": "OXNARD",
"state": "CA",
"postal_code": "930305045",
"telephone_number": "805-603-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "ROSALIE",
"middle_name": "P",
"credential": "PSYCHIATRIC TECH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "CA",
"license": "PT27196",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHIATRIC TECHNICIAN",
"identifier": "PT27196",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.