Individual provider Active NPI

Jesus Francisco Fernandez, M.D., A.B.U.C.M.

  • General Practice Physician
  • Victorville, CA
National Provider Identifier
1871513457
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
AA2965 Issued in AK
Practice address
13777 Air Expressway Blvd
Victorville, CA 92394-0510
Phone
(760) 246-2552
Fax
(760) 246-2542
NPI assigned
Jul 19, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10651 PR
General Practice Physician 208D00000X AA2965 AK Primary

Addresses

Primary practice location

13777 Air Expressway Blvd
Victorville, CA 92394-0510

Mailing address

30056 Milano Rd
Temecula, CA 92591-1636
Phone (951) 316-3416

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AA2965AKMDGeneral Practice Physician
10651PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1871513457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30056 MILANO RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925911636",
            "telephone_number": "951-316-3416",
            "fax_number": "951-699-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13777 AIR EXPRESSWAY BLVD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923940510",
            "telephone_number": "760-246-2552",
            "fax_number": "760-246-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JESUS",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "M.D., A.B.U.C.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10651",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AK",
            "license": "AA2965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.