Ingrid Fernandes (NPI# 1356342638, PAC ID# 2264403310) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1356342638 |
| PAC ID by PECOS | 2264403310 |
| Professional Enrollment ID | I20160822001003 |
| Full Name | Ingrid Fernandes |
| Organization Legal Name | LA CLINICA DE LA RAZA INC |
| Address |
2240 Gladstone Dr Suite 4 Pittsburg CA 94565-5126 |
| Phone Number | 9254311230 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 1557258282 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050072 | KAISER FOUNDATION HOSPITAL - WALNUT CREEK |
| Address | Phone | Organization |
|---|---|---|
| 2240 Gladstone Dr, Suite 4, Pittsburg, CA 94565-5126 | 9254311230 | LA CLINICA DE LA RAZA INC |
| Organization Legal Name | LA CLINICA DE LA RAZA INC |
| Physicians | 107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Heckert | Nurse Practitioner | La Clinica De La Raza Inc | 220 Hospital Dr, Vallejo, CA 94589-2517 |
| Subathra Murugaiah | Family Medicine | La Clinica De La Raza Inc | 243 Georgia St B, Vallejo, CA 94590-5905 |
| Jennifer Westerman | Nurse Practitioner | La Clinica De La Raza Inc | 2240 Gladstone Dr, Suite 4, Pittsburg, CA 94565-5126 |
| Maria Catalina Cuervo | Family Medicine | La Clinica De La Raza Inc | 1515 Fruitvale Ave, Oakland, CA 94601-2322 |
| Ken Marriner | Family Medicine | La Clinica De La Raza Inc | 3451 E 12th St, Oakland, CA 94601-3463 |
| Harpreet Kaur | Nurse Practitioner | La Clinica De La Raza Inc | 2000 Sierra Rd, Concord, CA 94518-2905 |
| Monique Nguyen | Optometry | La Clinica De La Raza Inc | 3060 E 9th St B, Oakland, CA 94601-2925 |
| Guadalupe Elizondo | Physician Assistant | La Clinica De La Raza Inc | 2021 Main St, Oakley, CA 94561-3302 |
| Lisa Renee Montang | Family Medicine | La Clinica De La Raza Inc | 1030 International Blvd, Oakland, CA 94606-3730 |
| Jody L Daudel | Obstetrics/gynecology | La Clinica De La Raza Inc | 210 Hospital Dr, Vallejo, CA 94589-2517 |
| Street Address |
2240 GLADSTONE DR SUITE 4 |
| City | PITTSBURG |
| State | CA |
| Zip | 94565-5126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Westerman | Nurse Practitioner | La Clinica De La Raza Inc | 2240 Gladstone Dr, Suite 4, Pittsburg, CA 94565-5126 |
| Charles Som | Family Medicine | La Clinica De La Raza Inc | 2240 Gladstone Dr, Suite 4, Pittsburg, CA 94565-5126 |
| Carly A. Waterstraut | Nurse Practitioner | La Clinica De La Raza Inc | 2240 Gladstone Dr, Suite 4, Pittsburg, CA 94565-5126 |
| James E. Mclean | Internal Medicine | La Clinica De La Raza Inc | 2240 Gladstone Dr, Suite 4, Pittsburg, CA 94565-5126 |
| Nathan Blau | Internal Medicine | La Clinica De La Raza Inc | 2240 Gladstone Dr, Suite 4, Pittsburg, CA 94565-5126 |
| Sharon De Edwards | Obstetrics/gynecology | 2240 Gladstone Dr, Suite 1, Pittsburg, CA 94565-5126 | |
| Jeanette Leon | Nurse Practitioner | La Clinica De La Raza Inc | 2240 Gladstone Dr, Suite 4, Pittsburg, CA 94565-5126 |
| James P Fagan | Podiatry | La Clinica De La Raza Inc | 2240 Gladstone Dr, Suite 4, Pittsburg, CA 94565-5126 |
| Angela Missaggia | Nurse Practitioner | La Clinica De La Raza Inc | 2240 Gladstone Dr, Suite 4, Pittsburg, CA 94565-5126 |
| Diana Gomez | Nurse Practitioner | La Clinica De La Raza Inc | 2240 Gladstone Dr, Suite 4, Pittsburg, CA 94565-5126 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jocelyn Parros | Clinical Social Worker | 325 Cumberland St, Suite C, Pittsburg, CA 94565-2205 | |
| Juliette A Kelley | Clinical Social Worker | 325 Cumberland St, Suite A, Pittsburg, CA 94565-2205 | |
| Gregory Castillo | Chiropractic | 184 E Leland Rd, Suite B, Pittsburg, CA 94565-4911 | |
| Sheila Marguerite Smith | Clinical Social Worker | 130 E Leland Rd, Suite C, Pittsburg, CA 94565-4954 | |
| Ray John A Mago | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 2230 Gladstone Dr, Pittsburg, CA 94565-5102 |
| Cecile V Coaker | Physical Therapy | California Sports Physical Therapy Centers, Inc. | 2230 Gladstone Dr, Pittsburg, CA 94565-5102 |
| Patricia M Dillard | Clinical Social Worker | Contra Costa County | 2311 Loveridge Rd, 2nd Floor, Pittsburg, CA 94565-5117 |
| Indu Talwar | Psychiatry | Contra Costa County | 2311 Loveridge Rd, 2nd Floor, Pittsburg, CA 94565-5117 |
| Erma J Wardley | Clinical Social Worker | Contra Costa County | 2311 Loveridge Rd, 2nd Floor, Pittsburg, CA 94565-5117 |
| Robert Streett | Psychiatry | Contra Costa County | 2311 Loveridge Rd, 2nd Floor, Pittsburg, CA 94565-5117 |
| Find all physicians in zip 94565 | |||
| City | PITTSBURG |
| Zip Code | 94565 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PITTSBURG + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ingrid Fernandes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.