DR. THILAN P.J. FERNANDO (NPI# 1316146632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316146632 |
| Entity Type | Individual |
| Full Name | DR. THILAN P.J. FERNANDO |
| Credential | M.D. |
| Practice Address |
11480 Brookshire Ave Suite #204 Downey CA 90241-5018 |
| Mailing Address |
75 Remittance Drive Dept 6008 Chicago IL 60675-6008 |
| Practice Telephone | 5622822775 |
| Practice Fax Number | 5629048095 |
| Mailing Telephone | 5622821419 |
| Mailing Fax Number | 5629201446 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2016-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A97365 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A973650 | 05 |
| Street Address |
11480 BROOKSHIRE AVE SUITE #204 |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-5018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881683944 | David Berger | Internal Medicine | 11480 Brookshire Ave, #110, Downey, CA 90241-5010 | 2005-10-20 |
| 1992172696 | Thuy Thi Ngoc Dang | Physician Assistant | 11480 Brookshire Ave, 309, Downey, CA 90241-5018 | 2015-08-28 |
| 1528481421 | Eriko Nakajima | Physician Assistant | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5018 | 2014-01-28 |
| 1912241019 | David Berger Md Inc. | Internal Medicine | 11480 Brookshire Ave, Suite 110, Downey, CA 90241-5018 | 2012-11-15 |
| 1215281787 | Neil E Klein Md A Medical Corporation | Surgery | 11480 Brookshire Ave, Suite 306, Downey, CA 90241-5024 | 2012-11-05 |
| 1790044691 | Ran Zhu | Pediatrics | 11480 Brookshire Ave, Downey, CA 90241-5018 | 2012-05-11 |
| 1811261084 | Anais Danielle Lane | Nurse Practitioner | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5025 | 2012-03-05 |
| 1174802698 | Lauren Rae Gillan | Physician Assistant | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5018 | 2011-08-15 |
| 1750689378 | Hooman Parsi | Internal Medicine | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5025 | 2011-03-06 |
| 1134421480 | The Oncology Institute of Hope and Innovation | Internal Medicine | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5018 | 2010-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518328442 | Mitra Brenda Kariminaser | Family Medicine | 12214 Lakewood Blvd, Downey, CA 90242-2662 | 2016-03-20 |
| 1659701787 | Maicenna Medical Group | Family Medicine | 8504 Firestone Blvd, Suite 271, Downey, CA 90241-4926 | 2013-11-27 |
| 1508131129 | Donna L. Wong, Do, Inc. | Family Medicine | 10800 Paramount Blvd., Suite 402, Downey, CA 90241-3334 | 2012-03-14 |
| 1922238112 | Paulino Antonio Equihua | Family Medicine | 7107 Nada St, Downey, CA 90242-2006 | 2009-07-22 |
| 1912146887 | Mls Clinical & Medical Corporation | Family Medicine | 8530 Florence Ave Ste 101, Downey, CA 90240-4015 | 2009-02-16 |
| 1598936023 | Ragaa Z Iskarous Md Inc. | Family Medicine | 11003 Lakewood Blvd Ste 201, Downey, CA 90241-3876 | 2008-03-12 |
| 1487711701 | Mark David Schneider | Family Medicine | 11411 Brookshire Avenue, Suite 207, Downey, CA 90241 | 2007-01-03 |
| 1952469850 | Robert James Wielenga | Family Medicine | 10835 New St, Downey, CA 90241-3714 | 2006-12-04 |
| 1184795007 | Jorge Alberto Enrique Ramirez Amaya | Family Medicine | 9449 Imperial Hwy Ste D133, Downey, CA 90242-2814 | 2006-11-13 |
| 1023119294 | William J Rubinson | Family Medicine | 11942 Paramount Blvd Ste B, Downey, CA 90242 | 2006-09-26 |
| Find all providers in DOWNEY | ||||
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| 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.