Healthcare Provider Details

I. General information

NPI: 1407707656
Provider Name (Legal Business Name): ROCIO FERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2611 E MATOIAN WAY MS UH 134
FRESNO CA
93740-0001
US

IV. Provider business mailing address

1111 VAN NESS AVE
FRESNO CA
93721-2002
US

V. Phone/Fax

Practice location:
  • Phone: 559-278-1115
  • Fax: 559-278-0447
Mailing address:
  • Phone: 559-265-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number210127915
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: