Active NPI
Christopher Raul Fernandez, DO
- Addiction Medicine (Family Medicine) Physician
- Ventura, CA
National Provider Identifier
1902427404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 20A22770
- Practice address
- 120 N Ashwood Ave
Ventura, CA 93003-1810 - Phone
- (805) 658-5800
- NPI assigned
- May 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 20A22770 | CA | Primary |
Addresses
Primary practice location
120 N Ashwood Ave
Ventura, CA 93003-1810
Mailing address
3401 W Gore Blvd
Lawton, OK 73505-6332
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- Pacific NW Un of HS, Col of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
120 N Ashwood Ave
Ventura, CA 93003-1810
Phone (805) 658-5800
Hospital & facility affiliations
- Community Memorial Hospital - Ventura
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7289 | OK | MD | Oral and Maxillofacial Surgery (Dentist) |
| 20A22770 | CA | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Health System | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients |
Locations
422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510
2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588
120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800
5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469
138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850
2721 E Main St
Ventura, CA 93003
Phone (805) 656-6272
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
Interoperability endpoints
- cfernandez1044657@oc.providencedirect.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Ojai, CA
- NPI 1588446892
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1902427404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N ASHWOOD AVE",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031810",
"telephone_number": "805-658-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "CHRISTOPHER",
"middle_name": "RAUL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-06",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "CA",
"license": "20A22770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.