Active NPI
Raymond-Steven Fernandez
- Counseling Psychologist
- San Diego, CA
National Provider Identifier
1902047442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 4344
- Practice address
- 4513 39TH St
San Diego, CA 92116-4631 - Phone
- (720) 495-7582
- NPI assigned
- Mar 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 4344 | AZ | Primary |
Addresses
Primary practice location
4513 39TH St
San Diego, CA 92116-4631
Mailing address
19363 NE Larson CT
Poulsbo, WA 98370-8531
Phone (720) 495-7582
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4344 | AZ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1902047442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19363 NE LARSON CT",
"city": "POULSBO",
"state": "WA",
"postal_code": "983708531",
"telephone_number": "720-495-7582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4513 39TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921164631",
"telephone_number": "720-495-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "RAYMOND-STEVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-12",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AZ",
"license": "4344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.