Cristian J Fernandez DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CRISTIAN J FERNANDEZ DDS INC

Practice address

2355 S R Valley Blvd Ste 205
San Ramon, CA 94583-1523

Phone

(209) 521-5486

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Cristian Fernandez, DDSNPI 1952526832

Title

Ceo/Provider

Phone

(209) 521-5486

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cristian Fernandez, DDS

  • General Practice Dentistry
  • Stockton, CA
  • NPI 1952526832
  NPD Authorized official

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1932821550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 COFFEE RD STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 S R VALLEY BLVD STE 205",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831523",
            "telephone_number": "209-521-5486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Coffee Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953554227",
            "country_code": "US",
            "telephone_number": "209-521-5486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRISTIAN J FERNANDEZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "CEO/PROVIDER",
        "authorized_official_telephone_number": "209-521-5486",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danita M Counts
• Courteous Healthcare Inc
• Patricia Garay Cowick, MFT
• Nianna Crawford
• Catherine Creighton
• Carl Herrick Critz, MD
• Natalie Lynne Croak
• Nicola Crofts
• Mathew Crome
• La Kenda Crosby, CERTIFIED PHLEBOTOMY

• Dentist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.