JOSE LUIS FERNANDEZ (NPI# 1598156671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598156671 |
| Entity Type | Individual |
| Full Name | JOSE LUIS FERNANDEZ |
| Practice Address |
1080 Emeline Ave Santa Cruz CA 95060-1966 |
| Practice Telephone | 8317075310 |
| Mailing Telephone | 8317075310 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000a, 1010c Emeline Ave., Santa Cruz, CA 950601900 | 8314250112 | 8314251847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634326 | Jose Antonio Fernandez | Behavior Technician | 3506 W 80th St Unit 102, Hialeah Gardens, FL 33018-7502 | 2020-06-23 |
| 1376980607 | Jose Daniel Fernandez | Massage Therapist | 135 W 32nd St, Hialeah, FL 33012-5422 | 2013-05-28 |
| 1841559713 | Jose R Fernandez | Family Medicine | 5637 North Courtland Ave, Chicago, IL 60631-2907 | 2012-05-11 |
| 1922372218 | Jose Angel Fernandez | Massage Therapist | 540 E 42nd St, Hialeah, FL 33013-2350 | 2012-03-04 |
| 1730399619 | Jose G Fernandez | Dentist | 444 E Southern Ave Ste 1, Phoenix, AZ 85040-3086 | 2007-05-22 |
| 1063516284 | Jose Ramon Fernandez | Family Medicine | 300 N. John Young Pkwy, Kissimme, FL 34141 | 2006-09-08 |
| 1861501660 | Jose M. Fernandez | Specialist | Isla Verde Ave. 6400 Cond. Los Pinos Apt. 6b Oeste, Carolina, PR 00979-7174 | 2006-08-29 |
| 1922034842 | Jose Orlando Fernandez | General Practice | Calle Autonomia Esquina Pepita Albandoz, Edificio Centro De Usos Multiples, Canovanas, PR 00729 | 2006-06-23 |
| 1205892718 | Jose M Fernandez | Pediatrics | 2550 Windy Hill Rd, Ste 109, Marietta, GA 30067 | 2006-04-24 |
| 1295702165 | Jose E Fernandez | Dentist | 32 Calle Munoz Rivera, Of 201, Aguadilla, PR 00603-5130 | 2006-03-01 |
| Street Address |
1080 EMELINE AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730188608 | Marion Joanna Jordan | Physician Assistant | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2005-07-21 |
| 1811526114 | Selena Hudson | Nurse Practitioner | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2020-04-07 |
| 1689219578 | Melinda Marie Martindale | Social Worker | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2019-11-14 |
| 1588225247 | Kirsten Aline Juel | Social Worker | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2019-06-24 |
| 1093248254 | Rashmi Mathew | Internal Medicine | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2017-04-05 |
| 1659810513 | County of Santa Cruz | Clinic/Center | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2017-02-13 |
| 1447591078 | Lisa Hernandez | Preventive Medicine | 1080 Emeline Ave, 2nd Floor, Public Health, Santa Cruz, CA 95060-1966 | 2013-03-06 |
| 1578814901 | Jennifer Kelly | Counselor | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2012-09-25 |
| 1972851517 | Matthew James Ventimiglia | Psychologist | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2012-08-28 |
| 1144504317 | Lilie Mytrang Pham | Nurse Practitioner | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2011-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1245774959 | Christopher Greer | Counselor | 740 Front St Ste 370, Santa Cruz, CA 95060-4584 | 2016-12-14 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| 1326448663 | Alexandra Grace Kenny | Counselor | 700 El Rancho Dr, Santa Cruz, CA 95060-1511 | 2014-08-22 |
| 1013337237 | Laura Hagen | Counselor | 716 Ocean St Ste 170, Santa Cruz, CA 95060-4033 | 2014-04-28 |
| 1326468117 | Gregory William Goldfield | Counselor | 230 Castillion Ter, Santa Cruz, CA 95060-3262 | 2014-04-21 |
| 1063842607 | Angelica Torres | Counselor | 200 7th Ave Ste 225, Santa Cruz, CA 95062-4669 | 2013-11-18 |
| 1699012690 | Tara Carson | Counselor | 1255 38th Ave Spc 122, Santa Cruz, CA 95062-3203 | 2013-01-10 |
| 1164783734 | Erin Bucci | Counselor | 303 Potrero #45-204, Santa Cruz, CA 95060 | 2012-05-30 |
| 1396015426 | Tina L Sentner | Counselor | 571 Bethany Curv, Santa Cruz, CA 95060-5312 | 2012-01-05 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on JOSE LUIS FERNANDEZ.
| 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.