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MAVIS FERNANDO CPNP-AC/PC
NPI 1083493100
Nurse Practitioner - Acute Care in Los Angeles, CA

Active since September 27, 2023
4650 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 660-2450 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mavis Fernando Cpnp-ac/pc NPPES

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

MAVIS FERNANDO CPNP-AC/PC (NPI 1083493100) is an individual acute care provider in Los Angeles, California, licensed in California (95026155) and active in the NPI registry since September 2023. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1083493100
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMAVIS FERNANDOCredential: CPNP-AC/PC
Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062
Mailing Address4650 W Sunset BlvdLos Angeles, CA 90027-6062
Phone(323) 660-2450
Sole ProprietorNo
Enumeration DateSeptember 27, 2023
Last NPPES UpdateNovember 3, 2023
NPPES CertifiedNovember 3, 2023
✔ NPI 1083493100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95026155
4650 W SUNSET BLVD, Los Angeles, CA 90027
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Secondary Practice Location 1

Location 14650 W Sunset BlvdLos Angeles, CA 90027-6062 · Phone (323) 660-2450

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.

DR. MARK HENDRIK CORDEN M.D.
Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-8893
MS. ROBERTA MIYEKO KATO MD
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2101
CHILDREN'S HOSPITAL LOS ANGELES
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3644
JESSICA ELIZABETH GREIM DPT, PT
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (310) 361-2118
MOLLY CEVASCO PH.D., BCBA
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
GINNY KIM THAN NP
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3033
DOUGLAS SHAPIRO MD
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 660-2450
ALEXANDRA LYNN JOSTES MD
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mavis Fernando's NPI number?

The NPI number for Mavis Fernando is 1083493100. It was assigned to this individual provider in the NPPES registry on September 27, 2023.

Where is Mavis Fernando located?

Mavis Fernando practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 660-2450.

What is Mavis Fernando's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Mavis Fernando was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.