Fernandes, Dionisio A.
Fernandes, Dionisio A. is an individual health care provider with primary practice located at 13847 E 14Th St. Ste 112, San Leandro CA 94578. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Fernandes, Dionisio A. can be contacted via phone (510) 352-8585.Contact Information
Primary practice address
13847 E 14Th St. Ste 112
San Leandro CA 94578
Phone: (510) 352-8585
Fax: (510) 352-8644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | A29416 | California |
Profile Details
| NPI number | 1285691121 |
|---|---|
| LBN Legal business name | Fernandes, Dionisio A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Oct 25th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285691121 | NPPES |
| California | MEDICAID | GR0066330 | |
| California | MEDICAID | GR0066331 |
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