Organization Active NPI

Thelma T Fernandez M D a Professional Corporation

  • Family Medicine Physician
  • Lancaster, CA
National Provider Identifier
1851614986
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THELMA T FERNANDEZ M D A PROFESSIONAL CORPORATION
Practice address
1601 W Avenue J
Suite 101
Lancaster, CA 93534-2824
Phone
(661) 945-2716
Fax
(661) 948-0552
NPI assigned
Mar 3, 2010
Organization subpart
Yes
Parent organization
THELMA T FERNANDEZ M DAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thelma T Fernandez, M.D.
Title
Medical Doctor
Phone
(661) 945-2716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1601 W Avenue J
Suite 101
Lancaster, CA 93534-2824

Mailing address

1601 W Avenue J
Suite 101
Lancaster, CA 93534-2824
Phone (661) 945-2716

Other identifiers 3

IdentifierTypeStateIssuer
A36169OtherCAMEDICARE
00A361690MedicaidCA
1861505158OtherCAMEDICARE NPI

National Provider Directory

National Provider Directory
Part of
Thelma Fernandez MD PC

Locations

1601 W Avenue J
Ste 101
Lancaster, CA 93534
Phone (661) 945-2716

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1851614986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W AVENUE J",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342824",
            "telephone_number": "661-945-2716",
            "fax_number": "661-948-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W AVENUE J",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342824",
            "telephone_number": "661-945-2716",
            "fax_number": "661-948-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THELMA T FERNANDEZ M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THELMA T FERNANDEZ M D",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "THELMA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "661-945-2716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A36169",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A361690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1861505158",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.