DR. MARINA H FERNANDEZ M.D. NPI 1255354171

NPI Information

NPI: 1255354171
Provider Name: DR. MARINA H FERNANDEZ, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
941 S ATLANTIC BLVD
SUITE 101
MONTEREY PARK, CA
ZIP 91754
Phone: (626) 458-8401
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DR. Marina H Fernandez, M.D. is a general practice in Monterey Park, CA. DR. Marina H Fernandez, M.D. NPI is 1255354171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

941 S ATLANTIC BLVD
SUITE 101
MONTEREY PARK, CA
ZIP 91754-722
Phone: (626) 458-8401
Fax: (626) 458-5606

The NPI 1255354171 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 12/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A37204	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00A372040	MEDICAID	CALIFORNIA
2	A84985	MEDICARE UPIN	CALIFORNIA
3	WA37204F	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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