Andre V Guerrero Fernandes, MD, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

A126757 Issued in CA

Practice address

1333 E Foothill Blvd Ste 1
Upland, CA 91786-4052

Phone

(909) 982-8888

NPI assigned

Apr 1, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aguerrerofernandes7375@direct.llu.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cal Med Physicians and Surgeons, Inc.

  • Surgery Physician
  • Colton, CA
  • NPI 1316054737

  Oral & Maxillofacial Surgery

  Medicare reassignment NPD
• Loma Linda University

  • Dental Clinic/Center
  • Loma Linda, CA
  • NPI 1639270846
  Medicare reassignment NPD
• Grads Inc.

  • Community/Retail Pharmacy
  • San Bernardino, CA
  • NPI 1720443526
  NPD

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891937249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 E FOOTHILL BLVD STE 1",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 E FOOTHILL BLVD STE 1",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864052",
            "telephone_number": "909-982-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11234 Anderson St",
            "address_2": "House Staff Office CP21005",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542804",
            "country_code": "US",
            "telephone_number": "909-632-8253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO FERNANDES",
        "first_name": "ANDRE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD,  DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A126757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grove Division
• Lorelle Grove
• Dwight W Guan, MD
• Guardian Hospice Inc
• Silvia Guerra, M.S.
• Elizabeth Guerrero
• Vivian Guerrero, SLPA
• Guided Life Therapeutics
• Judith Guijarro
• Elizabeth Ann Guilleaume

• Oral & Maxillofacial Surgery (D.M.D.) in Upland, CA
• Providers in Upland, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.