NPIMap

Individual provider Active NPI

Salvador Fernandez, MD

  • Family Medicine Physician
  • Payson, UT
National Provider Identifier
1952491557
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
378669-1205 Issued in UT
Practice address
285 N 1250 E # 103
Payson, UT 84651-5794
Phone
(801) 429-2000
Fax
(801) 429-2001
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 3786691205 UT
Family Medicine Physician 207Q00000X 378669-1205 UT Primary

Addresses

Primary practice location

285 N 1250 E # 103
Payson, UT 84651-5794

Mailing address

589 South State Street
Provo, UT 84606-5056
Phone (801) 429-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622000189 UT Practitioner - Family Practice 3173508413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

910 E 100
Suite 155
Payson, UT 84651-1638
Phone (801) 465-1890

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3786691205UTMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainlands Community Health Center, Inc. Family Medicine CurrentSince Aug 28, 2012 Accepting new patients
Mountainlands Community Health Center, Inc Family Medicine CurrentSince Aug 28, 2012 Accepting new patients

Locations

285 N 1250 E
#103
Payson, UT 84651
Phone (801) 429-2000

910 E 100 N
Ste 155
Payson, UT 84651
Phone (801) 465-1890

285 N 1250 E
Ste 103
Payson, UT 84651
Phone (801) 429-2000

589 S State St
Provo, UT 84606
Phone (801) 420-2000

Interoperability endpoints

  • Direct secure messaging: salvador.fernandez.1@11721.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1952491557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 SOUTH STATE STREET",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846065056",
            "telephone_number": "801-429-2000",
            "fax_number": "801-429-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 N 1250 E # 103",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846515794",
            "telephone_number": "801-429-2000",
            "fax_number": "801-429-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "SALVADOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "UT",
            "license": "3786691205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "378669-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, UT

Sources for this page

Verify at the official NPI Registry.