1508202144 NPI number — DR. TASHA JUDITH FERNANDO M.D.

Table of content: DR. TASHA JUDITH FERNANDO M.D. (NPI 1508202144)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508202144 NPI number — DR. TASHA JUDITH FERNANDO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FERNANDO
Provider First Name:
TASHA
Provider Middle Name:
JUDITH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508202144
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/26/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3033 W ORANGE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANAHEIM
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92804-3156
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-827-3000
Provider Business Mailing Address Fax Number:
818-587-2483

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3033 W ORANGE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANAHEIM
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92804-3156
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-817-3000
Provider Business Practice Location Address Fax Number:
818-587-2493
Provider Enumeration Date:
05/21/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207P00000X , with the licence number: A132861 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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