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NPI Code Detail

MEDICARE: JOHN FERNANDEZ

MEDICARE:   JOHN  FERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorCA

General Provider Information

NPI Number : 1669311395
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN FERNANDEZ
Provider Business Mailing Address
First Line : 3104 O ST # 420
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-6519
Country : US
Telephone Number : 530-912-8004
Fax Number :
Provider Business Practice Location Address
First Line : 925 HIGHLAND POINTE DR
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-5427
Country : US
Telephone Number : 530-912-8004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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Directions to “ JOHN FERNANDEZ ” Practice Location

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