MEDICARE: MICHAEL EDWARD FERNANDEZ A.T.,C , P.T.A.

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
1	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1942235304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL EDWARD FERNANDEZ A.T.,C , P.T.A.

Provider Business Mailing Address
First Line	:	1351 E 1ST ST
Second Line	:
City	:	TUSTIN
State	:	CA
Zip	:	92780-4569
Country	:	US
Telephone Number	:	714-957-3781
Fax Number	:	714-641-3698

Provider Business Practice Location Address
First Line	:	1202 W EDINGER AVE
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92707-2126
Country	:	US
Telephone Number	:	714-957-3781
Fax Number	:	714-641-3698

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1346787272 — CHRISTINE DAHLE ATC
Practice Location Address:

1202 W EDINGER AVE
SANTA ANA, CA
92707-2126

Practice Phone: 714-754-7711
Practice Fax:

1336255041 — MRS. LILY TU LAN TRAN DDS
Practice Location Address:

2126 N TUSTIN AVENUE
SANTA ANA, CA
92705

Practice Phone: 714-558-9236
Practice Fax: 714-558-9237

1780826974 — LILY TULAN TRAN, DDS, A PROFESSIONAL DENTAL CORPOPRATION
Practice Location Address:

2126 N TUSTIN AVE
SANTA ANA, CA
92705-7828

Practice Phone: 714-558-9236
Practice Fax: 714-558-9237

1396608550 — CROSSOVER HEALTH MEDICAL GROUP
Practice Location Address:

2821 SCOTT BLVD STE 2126
SANTA CLARA, CA
95050-2549

Practice Phone: 971-500-2661
Practice Fax:

1871717553 — CAITLIN ADDISON-HOWARD
Practice Location Address:

191 HARVEY WEST BLVD
SANTA CRUZ, CA
95060-2126

Practice Phone: 831-469-1700
Practice Fax:

1992929681 — KATHLEEN ELLIOTT-MCCREA RN, LCSW
Practice Location Address:

191 HARVEY WEST BLVD
SANTA CRUZ, CA
95060-2126

Practice Phone: 831-469-1700
Practice Fax:

Directions to “ MICHAEL EDWARD FERNANDEZ A.T.,C , P.T.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.