DR. MANUEL ENRIQUE FERNANDEZ (NPI# 1558558676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558558676 |
| Entity Type | Individual |
| Full Name | DR. MANUEL ENRIQUE FERNANDEZ |
| Credential | PSYD, MSCP |
| Practice Address |
1070 Concord Ave Ste 109 Concord CA 94520-5608 |
| Practice Telephone | 9258495349 |
| Practice Fax Number | 9252703382 |
| Mailing Telephone | 9258495349 |
| Mailing Fax Number | 9252703382 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY26787 | CA | Behavioral Health & Social Service Providers |
| N | 282N00000X | General Acute Care Hospital | PSY 26787 | CA | Hospitals |
| N | 283Q00000X | Psychiatric Hospital | Hospitals | ||
| N | 251S00000X | Community/Behavioral Health | PSY 26787 | CA | Agencies |
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1750641189 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3454 Hillcrest Ave, Antioch, CA 945318238 | 9257776356 | 9257776363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019990 | Manuel Martinez Fernandez | Registered Nurse | 4134 Center St Apt B, Culver City, CA 90232-4005 | 2020-10-05 |
| 1235236936 | Manuel Lim Fernandez | Counselor | 1411 Harmony Ln, Fullerton, CA 92831-2013 | 2006-09-17 |
| 1265402051 | Manuel Francisco Fernandez | General Practice | 295 Park Blvd, Miami, FL 33126-8010 | 2006-01-24 |
| 1598754897 | Manuel Fernandez | General Practice | Ave Baldorioty #67, Cayey, PR 00736 | 2005-10-19 |
| 1588228423 | Manuel Felipe Fernandez | Internal Medicine | 251 E Huron St, Chicago, IL 60611-3055 | 2019-04-25 |
| 1558806869 | Manuel F Fernandez | Internal Medicine | Po Box Lbj, Pago Pago, AS 96799-0010 | 2016-12-21 |
| 1912395112 | Manuel Fernandez | Case Manager/Care Coordinator | 4 Lorraine Ave, Mount Vernon, NY 10553-1222 | 2014-12-23 |
| 1124374962 | Manuel J Fernandez IIi | Dentist | 22600 Ventura Blvd, Suite 204, Woodland Hills, CA 91364-1414 | 2012-07-30 |
| 1881959948 | Manuel Fernandez | Social Worker | 1905 Nw 82nd Ave, Doral, FL 33126-1011 | 2012-07-05 |
| 1952478836 | Manuel Paul Fernandez | Internal Medicine | 9400 Rosecrans Ave, Bellflower, CA 90706-2246 | 2006-11-29 |
| Street Address |
1070 CONCORD AVE STE 109 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-5608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933026 | La Concordia Psychotherapy and Wellness Clinic | Psychologist | 1070 Concord Ave Ste 109, Concord, CA 94520-5608 | 2020-08-20 |
| 1750641189 | Rosemary Puerto | Psychologist | 1070 Concord Ave Ste 109, Concord, CA 94520-5608 | 2012-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1396394359 | Gary S. Rose Ph.d. LLC | Psychologist | 45 Walden St Ste 1, Concord, MA 01742-2513 | 2019-09-11 |
| 1689230872 | Julian Heath | Psychologist | 1001 Grand Summit Blvd Apt 1043, Concord, NC 28027-3732 | 2019-05-14 |
| 1013401595 | Karen Jo Giammusso Shapiro | Psychologist | 59 N Branch Rd, Concord, MA 01742-3807 | 2018-06-19 |
| 1558809335 | Tara Mcbride Afonso | Psychologist | 10 Ferry St Ste 313, Medoptions of New Hampshire, LLC., Concord, NH 03301-5004 | 2017-02-01 |
| 1053664524 | Elizabeth Lavenson Myers | Psychologist | 1157 Fair Weather Cir, Concord, CA 94518-1939 | 2012-10-22 |
| 1447528633 | Debra Ying Fah Tong | Psychologist | 1868 Clayton Rd Ste 126, Concord, CA 94520-2552 | 2011-12-02 |
| 1013202381 | Lauren J Brown | Psychologist | 81 Commonwealth Ave, Suite 8, Concord, MA 01742-2977 | 2011-06-15 |
| 1518274851 | Allison C Flynn | Psychologist | 281 Monsen Rd, Concord, MA 01742-1941 | 2010-09-08 |
| 1932330073 | Avninder Singh Anand | Psychologist | 1470 Civic Court, Suite 100, Concord, CA 94520 | 2009-08-06 |
| Find all providers in CONCORD | ||||
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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.