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ANTHONY RAYMOND FERNANDEZ JR. PMHNP, MSN, RN
NPI 1093441875
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since July 25, 2022PECOS EnrolledAccepts Medicare Assignment
3030 W OLYMPIC BLVD STE 217, LOS ANGELES, CA 90006(213) 550-2159 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anthony Raymond Fernandez Jr. Pmhnp, Msn, Rn NPPES

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

ANTHONY RAYMOND FERNANDEZ JR. PMHNP, MSN, RN (NPI 1093441875) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95022000) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093441875
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameANTHONY RAYMOND FERNANDEZ JR.Credential: PMHNP, MSN, RN
Location Address3030 W OLYMPIC BLVD STE 217Los Angeles, CA 90006-6507
Mailing Address26946 Fayence DrMurrieta, CA 92562-4506 · (951) 809-1099
Phone(213) 550-2159
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 25, 2022
NPPES CertifiedJuly 25, 2022
✔ NPI 1093441875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95022000
3030 W OLYMPIC BLVD STE 217, Los Angeles, CA 90006
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Raymond Fernandez Jr. Pmhnp, Msn, Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537536123
PECOS Enrollment IDI20221111000474
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 90006 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 14

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

MR. MIGUEL ANGEL QUIROZ PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 550-2159
HOVHANNES AVAGYAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 493-5226
EUNICE LEE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 550-2159
HEE TAE LEE
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 703-5526
KEUMHEE BYEON NP
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 550-2159
SARAH CHO KO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 550-2159
BENJAMIN ROSS TROUSDALE
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 550-2159
CRYSTAL LAUREN MIN
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 550-2159

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 Anthony Fernandez's NPI number?

The NPI number for Anthony Fernandez is 1093441875. It was assigned to this individual provider in the NPPES registry on July 25, 2022.

Where is Anthony Fernandez located?

Anthony Fernandez practices at 3030 W Olympic Blvd Ste 217, Los Angeles, CA 90006. The listed phone number is (213) 550-2159.

What is Anthony Fernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Anthony Fernandez enrolled in Medicare?

Yes. Anthony Fernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Anthony Fernandez was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.