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JUAN DIEGO FERNANDEZ M.D. NPI 1629502760


NPI Information

NPI: 1629502760
Provider Name: JUAN DIEGO FERNANDEZ, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
625 S FAIR OAKS AVE STE 285
PASADENA, CA
ZIP 91105
Phone: (626) 817-4747
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Juan Diego Fernandez, M.D. is a neurology psychiatry neurology in Pasadena, CA with 7 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Juan Diego Fernandez, M.D. NPI is 1629502760. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

625 S FAIR OAKS AVE STE 285
PASADENA, CA
ZIP 91105-613
Phone: (626) 817-4747

The NPI 1629502760 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 4/15/2017 and was last updated on 7/14/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207WX0109XOphthalmologyNeuro-ophthalmologyA185789CALIFORNIANo
22084N0400XPsychiatry & NeurologyNeurologyA185789CALIFORNIANo
32084N0400XPsychiatry & NeurologyNeurology0101265856VIRGINIAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.