Active NPI
Thelma T Fernandez, M.D.
- Family Medicine Physician
- Lancaster, CA
National Provider Identifier
1861505158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A36169
- Practice address
- 1601 West Avenue J
Suite 101
Lancaster, CA 93534 - Phone
- (661) 945-2716
- Fax
- (661) 948-0552
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- 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 Medicine Physician | 207Q00000X | A36169 | CA | Primary |
Addresses
Primary practice location
1601 West Avenue J
Suite 101
Lancaster, CA 93534
Mailing address
1601 West Avenue J
Suite 101
Lancaster, CA 93534
Phone (661) 945-2716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A361690 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36169 | CA | MD | General Practice Dentistry |
| A36169 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283817600000",
"number": "1861505158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 WEST AVENUE J",
"address_2": "SUITE 101",
"city": "LANCASTER",
"state": "CA",
"postal_code": "93534",
"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 WEST AVENUE J",
"address_2": "SUITE 101",
"city": "LANCASTER",
"state": "CA",
"postal_code": "93534",
"telephone_number": "661-945-2716",
"fax_number": "661-948-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "THELMA",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2010-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A36169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A361690",
"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.