Healthcare Provider Details

I. General information

NPI: 1932233608
Provider Name (Legal Business Name): GERARD FERNANDEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ZOCIL FERNANDEZ

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 BLANCO CIR STE B
SALINAS CA
93901-4451
US

IV. Provider business mailing address

PO BOX 1750
MONTEREY CA
93942-1750
US

V. Phone/Fax

Practice location:
  • Phone: 831-784-2150
  • Fax:
Mailing address:
  • Phone: 831-784-2150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA81777
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA81777
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: