Active NPI
Jomar Paolo Suarez Fernandez, MD
- Psychiatry Physician
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DR.0053808
- Practice address
- 4856 Innovation Dr
Fort Collins, CO 80525-5539 - Phone
- (970) 494-4200
- Fax
- (844) 270-1824
- NPI assigned
- Apr 10, 2011
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A159640 | CA | |
| Psychiatry Physician | 2084P0800X | DR.0053808 | CO | Primary |
Addresses
Primary practice location
4856 Innovation Dr
Fort Collins, CO 80525-5539
Mailing address
4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone (970) 494-4200
Other practice location 1
1430 Freedom Blvd
Watsonville, CA 95076-2780
Phone (831) 763-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, WA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150929003153 | CO | Practitioner - Psychiatry | 3072821768 | Reassigns benefits to 1 organization |
| I20190108002526 | WA | Practitioner - Psychiatry | 3072821768 | Reassigns benefits to 1 organization |
| I20210308001236 | CA | Practitioner - Psychiatry | 3072821768 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A159640 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Cruz | Current | Accepting new patients | |
| Summitstone Health Partners | Current | Accepting new patients | |
| County of Monterey Behavioral Health | Current | Accepting new patients | |
| Summitstone Health Partners | Current | Accepting new patients | |
| County of Monterey Behavioral Health | Current | Accepting new patients | |
| Compass Health | Current | Accepting new patients | |
| Summitstone Health Partners | Current | Accepting new patients |
Locations
1441 Constitution Blvd
Ste 200
Salinas, CA 93906
Phone (831) 755-4156
1270 Natividad Rd
Salinas, CA 93906
Phone (831) 755-4500
1080 Emeline Ave
Santa Cruz, CA 95060
Phone (831) 454-4100
359 Gabilan Dr
Soledad, CA 93960
Phone (831) 769-8740
1430 Freedom Blvd
Watsonville, CA 95076
Phone (831) 763-8200
1430 Freedom Blvd
Ste D
Watsonville, CA 95076
Phone (831) 763-8400
4102 S Timberline Rd
Fort Collins, CO 80525
Phone (970) 494-5728
4856 Innovation Dr
Fort Collins, CO 80525
1250 N Wilson Ave
Loveland, CO 80537
Phone (970) 494-9789
10710 Mukilteo Speedway
Mukilteo, WA 98275
Phone (425) 349-8888
Interoperability endpoints
- jomar.suarezfernandez@hca3.eclinicaldirectplus.com
Organizations & group practices 9
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Collins, CO
- NPI 1821552738
CO
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Collins, CO
- NPI 1003652892
-
- Adult Mental Health Clinic/Center
- Fort Collins, CO
- NPI 1154135861
-
- Adult Mental Health Clinic/Center
- Salinas, CA
- NPI 1053126003
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Salinas, CA
- NPI 1740052562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1992095004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4856 INNOVATION DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255539",
"telephone_number": "970-494-4200",
"fax_number": "844-270-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4856 INNOVATION DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255539",
"telephone_number": "970-494-4200",
"fax_number": "844-270-1824"
}
],
"practiceLocations": [
{
"address_1": "1430 Freedom Blvd",
"address_purpose": "LOCATION",
"city": "Watsonville",
"state": "CA",
"postal_code": "950762780",
"country_code": "US",
"telephone_number": "831-763-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUAREZ FERNANDEZ",
"first_name": "JOMAR",
"middle_name": "PAOLO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-10",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A159640",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0053808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.