MRS. TERRELYN C FERNANDEZ


Address: 1620 Pennsylvania Ave Ste C, Fairfield, CA 94533-3509
Phone: 7074284878

MRS. TERRELYN C FERNANDEZ (NPI# 1215061775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215061775
Entity Type Individual
Full Name MRS. TERRELYN C FERNANDEZ
Credential PA
Practice Address 1620 Pennsylvania Ave Ste C
Fairfield
CA 94533-3509
Practice Telephone 7074284878
Mailing Telephone 7074284878
Enumeration Date 2007-03-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA13073 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA STATE LICENSE NUMBER PA13073 01

Office Location

Street Address 1620 PENNSYLVANIA AVE STE C
City FAIRFIELD
State CA
Zip Code 94533-3509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861006181 Roy F Smally Jr. Marriage & Family Therapist 1620 Pennsylvania Ave Ste C, Fairfield, CA 94533-3509 2020-09-03
1457988016 Julie Crouse Registered Nurse 1620 Pennsylvania Ave Ste C, Fairfield, CA 94533-3509 2020-03-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609487347 Shayondelice Sledge Case Manager/Care Coordinator 3001 N. Texas St., #27, Fairfield, CA 94533 2020-08-16
1508401191 Tiffany Ann Garcia Social Worker 1301 Roman Way, Martinez, CA 94533 2019-11-07
1609424175 Andrew Stephens Student in an Organized Health Care Education/Training Program Dgmc, 101 Bodin Cir, Fairfield, CA 94533 2019-08-28
1821645383 Michelle Marie Hackett Marriage & Family Therapist 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 2019-08-20
1780154369 Maria Leonila Ramos Corpuz Behavior Technician 744 Empire Street Suite 160, Fairfield, CA 94533 2018-11-27
1629575303 Jeanne Ann Kiernan Dentist 690 Airman Dr, Apo, AA 94533 2018-04-10
1629596820 Max Kardos Student in an Organized Health Care Education/Training Program 801 Empire St., Fairfield, CA 94533 2017-09-07
1780119867 Justin Denhart Dickson Student in an Organized Health Care Education/Training Program 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 2017-04-26
1639613409 Behrooz Shafiezadeh Marriage & Family Therapist Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 2016-12-13
1427500164 Tanya Ayers Counselor 801 Empire Street, Fairfield, CA 94533 2016-10-28
Find all providers in zip 94533

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225668205 Melissa Hisako Reagan Physician Assistant 1261 Travis Blvd Ste 100, Fairfield, CA 94533-4804 2020-01-18
1467639385 Akosua Rodriguez Physician Assistant 2720 Low Ct Fl 2, Fairfield, CA 94534-9771 2008-01-22
1679618318 Jennifer Chapman Physician Assistant 1801 Fairfield Beach Rd, Fairfield, CT 06824-6524 2007-02-20
1336251610 Douglas K Casperson Physician Assistant 223 W Main, Ste A, Fairfield, MT 59436-6503 2006-08-31
1437142379 Kayla Shaye Bell Physician Assistant 213 Nw 11th Street, Suite A, Fairfield, IL 62837 2005-08-25
1629513270 Emily Elizabeth Helling Physician Assistant 2000 S Main St, Fairfield, IA 52556-9572 2017-01-05
1821546607 Danielle Marie Centone Physician Assistant 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 2016-09-21
1629431002 Cassaundra Kalman Craig Physician Assistant 5390 Dixie Hwy, Fairfield, OH 45014-4124 2016-04-01
1457735540 Emily Woodall Physician Assistant 3000 Mack Rd, Fairfield, OH 45014-5335 2015-07-17
1750788253 Brendan Stroz Physician Assistant 101 Bodin Cir, Fairfield, CA 94535 2014-11-26
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Competitor

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City FAIRFIELD
Zip Code 94533

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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