Fernandez Torres DDS LLC

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

FERNANDEZ TORRES DDS LLC

Practice address

4738 Scotts Valley Dr Ste a
Scotts Valley, CA 95066-4239

Phone

(831) 438-0554

NPI assigned

Jul 1, 2020

Organization subpart

No

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

Authorized official

Name

Pablo Fenandez, DDS

Title

Owner

Phone

(209) 277-2876

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1851918262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 SCOTTS VALLEY DR STE A",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664239",
            "telephone_number": "831-438-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4738 SCOTTS VALLEY DR STE A",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664239",
            "telephone_number": "831-438-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDEZ TORRES DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "FENANDEZ",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-277-2876",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Timothy Ericksen
• David Estrada, DDS
• Tyler Blair Evans, M.D.
• Giulia Christina Favia
• Karen Feng, DO
• Gabriel Anthony Figueroa, MFT
• Brett Beauvais Fisher, DC
• Eric Fisher, D.C.
• Robert Fitt, D.D.S.
• Foot Doctors of Santa Cruz County, Inc. a Podiatry Group

• Oral and Maxillofacial Pathology Dentistry in Scotts Valley, CA
• Providers in Scotts Valley, CA by specialty
• Oral and Maxillofacial Pathology Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.