Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELICA FERNANDEZ
NPI 1083026355
Social Worker - Clinical in Lake Elsinore, CA

Q: What is Angelica Fernandez's NPI number?

The NPI number for Angelica Fernandez is 1083026355. It was assigned to this individual provider in the NPPES registry on May 21, 2014. The provider is also known as Angelica Porras.

Q: What is Angelica Fernandez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 21, 2014PECOS Enrolled

265 SAN JACINTO RIVER RD STE 107, LAKE ELSINORE, CA 92530(951) 674-9243 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2026, Jun 9, 2025, Nov 20, 2023 and 1 more (4 updates tracked since 2022).

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About Angelica Fernandez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELICA FERNANDEZ (NPI 1083026355) is an individual clinical provider in Lake Elsinore, California, licensed in California (130458) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083026355

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANGELICA FERNANDEZ

Location Address265 SAN JACINTO RIVER RD STE 107Lake Elsinore, CA 92530-4400

Mailing Address265 San Jacinto River Rd Ste 107Lake Elsinore, CA 92530-4400 · (951) 674-9243

Phone(951) 674-9243

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMay 21, 2014

Last NPPES UpdateJuly 30, 20264 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1083026355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 130458

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedRehabilitation CounselorTaxonomy 225C00000X

265 SAN JACINTO RIVER RD STE 107, Lake Elsinore, CA 92530

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Other Names 1

Former Name (1)Angelica Porras

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelica Fernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709394737

PECOS Enrollment IDI20250801001426

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $59.60 – $179.42

Typical copayment $0.00 (range $14.90 – $44.85)

Most-billed visit code NA

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORIAH ASCH

Marriage & Family Therapist