NICHOLAS SCOTT FERNANDEZ (NPI# 1558997288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558997288 |
| Entity Type | Individual |
| Full Name | NICHOLAS SCOTT FERNANDEZ |
| Credential | BS |
| Practice Address |
815 Colorado Blvd Ste 300 Los Angeles CA 90041-1744 |
| Practice Telephone | 3235432800 |
| Practice Fax Number | 3239781263 |
| Mailing Telephone | 3235432800 |
| Mailing Fax Number | 3239781263 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277388 | Nicholas Fernandez | Behavioral Analyst | 1 Forest Ct, Morris Plains, NJ 07950-2514 | 2018-12-22 |
| Street Address |
815 COLORADO BLVD STE 300 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90041-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336478650 | Kenneth Adonis Brown | Rehabilitation Practitioner | 815 Colorado Blvd Ste 300, Los Angeles, CA 90041-1744 | 2009-12-15 |
| 1619592425 | Alexa Monique Espinoza | Student in an Organized Health Care Education/Training Program | 815 Colorado Blvd Ste 300, Los Angeles, CA 90041-1744 | 2020-06-08 |
| 1962027763 | Kristin Nicole Varilla Gonzales | Rehabilitation Practitioner | 815 Colorado Blvd Ste 300, Los Angeles, CA 90041-1744 | 2020-06-08 |
| 1790305274 | Laura Marie Fontes | Social Worker | 815 Colorado Blvd Ste 300, Los Angeles, CA 90041-1744 | 2020-04-24 |
| 1326668815 | Kyle Duane Ochs | Rehabilitation Practitioner | 815 Colorado Blvd Ste 300, Los Angeles, CA 90041-1744 | 2020-04-24 |
| 1255951893 | Phuong My Lane | Rehabilitation Practitioner | 815 Colorado Blvd Ste 300, Los Angeles, CA 90041-1744 | 2020-04-23 |
| 1285107631 | Vannesa I Santos | Rehabilitation Practitioner | 815 Colorado Blvd Ste 300, Los Angeles, CA 90041-1744 | 2019-01-08 |
| 1700356052 | Liane Mitchum | Student in an Organized Health Care Education/Training Program | 815 Colorado Blvd Ste 300, Los Angeles, CA 90041-1744 | 2018-11-29 |
| 1104349943 | Holly Nichole Homeyer | Social Worker | 815 Colorado Blvd Ste 300, Los Angeles, CA 90041 | 2017-07-24 |
| 1255621843 | Natalie Pedroza-lozano | Rehabilitation Practitioner | 815 Colorado Blvd Ste 300, Los Angeles, CA 90041-1744 | 2011-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994501 | Josephine Villanueva | Technician | 4433 Eagle Rock Blvd. #113, Los Angeles, CA 90041 | 2019-10-22 |
| 1457862484 | Maria Susana Espino Gonzales | Physiological Laboratory | 5264 Lockhaven Ave, Los Angeles, CA 90041 | 2017-10-17 |
| 1407366602 | Tuan H Phan | Pharmacist | 4414 Yolk Boulevard, Los Angeles, CA 90041 | 2017-10-03 |
| 1194195164 | College Vista, LLC | Skilled Nursing Facility | 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 | 2015-10-02 |
| 1346640026 | Angelynn Hermes | Social Worker | 850 Colorado Blvd Ste 102, Los Angeles, CA 90041 | 2014-08-29 |
| 1205181179 | Michael E Ignacio | Dentist | 1916 W. Colorado, Los Angeles, CA 90041 | 2012-07-17 |
| 1093074999 | Marilyn Henry Murphy | Psychologist | 4368 Eagle Rock Boulevard, Los Angeles, CA 90041 | 2012-05-11 |
| 1235434911 | Mohammad Khaknegar | Dentist | 2455 Colorado Blvd., #16, Los Angeles, CA 90041 | 2011-01-11 |
| 1174844088 | Ileana Escobedo | Marriage & Family Therapist | 1551 Waldran Ave, Los Angeles, CA 90041 | 2010-06-15 |
| 1649404963 | Metro Healthcare Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 4515 Eagle Rock Blvd., Ste 111-c, Los Angeles, CA 90041 | 2009-05-14 |
| Find all providers in zip 90041 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013757 | Terrisa Noel-rivera Luna | Rehabilitation Practitioner | 11303 Wilshire Blvd Bld 116, Los Angeles, CA 90025-5069 | 2020-05-01 |
| 1063046795 | Leanne Margaret Cremin | Rehabilitation Practitioner | 2285 Westwood Blvd, Los Angeles, CA 90064-2017 | 2020-03-03 |
| 1720610421 | Ronmoe Inc | Rehabilitation Practitioner | 2025 Westwood Blvd, Los Angeles, CA 90025-6328 | 2020-02-10 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1114445848 | Claudia Melgar | Rehabilitation Practitioner | 1540 Alcazar St # St133, Los Angeles, CA 90089-0080 | 2017-09-01 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1356893796 | Rosemary Marroquin | Rehabilitation Practitioner | 511 N Harvard Blvd, Los Angeles, CA 90004-1906 | 2016-11-02 |
| 1902356520 | Aida Kimberly Escobar | Rehabilitation Practitioner | 2715 E 5th St, Los Angeles, CA 90033-4422 | 2016-10-06 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90041 |
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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.