Organization Active NPI

Brenda Fernandez

  • Community/Behavioral Health Agency
  • Thousand Oaks, CA
National Provider Identifier
1912305103
Registry record updated Dec 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
IMF83414 Issued in CA
Legal business name
BRENDA FERNANDEZ
Practice address
100 E Thousand Oaks Blvd Ste 140
Thousand Oaks, CA 91360-8123
Phone
(866) 587-6685
NPI assigned
Dec 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2014

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

Authorized official

Name
Miss Brenda Cerda Fernandez
Title
MFT Intern
Phone
(805) 816-8493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IMF83414 CA Primary

Addresses

Primary practice location

100 E Thousand Oaks Blvd Ste 140
Thousand Oaks, CA 91360-8123

Mailing address

2780 Eucalyptus Dr
Oxnard, CA 93036-8815
Phone (805) 816-8493

National Provider Directory

National Provider Directory

Locations

100 E Thousand Oaks Blvd
Ste 140
Thousand Oaks, CA 91360
Phone (424) 354-7170

NPI Registry JSON

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

{
    "created_epoch": "1419033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419033600000",
    "number": "1912305103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 EUCALYPTUS DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930368815",
            "telephone_number": "805-816-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E THOUSAND OAKS BLVD STE 140",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608123",
            "telephone_number": "866-587-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA FERNANDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-20",
        "last_updated": "2014-12-20",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "CERDA",
        "authorized_official_title_or_position": "MFT INTERN",
        "authorized_official_telephone_number": "805-816-8493",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "IMF83414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2014; 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.