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BRAULIO FERNANDEZ
NPI 1154902930
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since April 14, 2021PECOS Enrolled
450 STANYAN ST, ST. MARY'S MEDICAL CENTER, SAN FRANCISCO, CA 94117(415) 750-5942(415) 750-5594 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2026, Jun 18, 2023, May 18, 2022 and 1 more (4 updates tracked since 2021).

About Braulio Fernandez NPPES

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

BRAULIO FERNANDEZ (NPI 1154902930) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154902930
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRAULIO FERNANDEZ
Location Address450 STANYAN ST, ST. MARY'S MEDICAL CENTERSan Francisco, CA 94117
Mailing Address450 Stanyan StSan Francisco, CA 94117 · (415) 730-5942 · Fax (415) 750-5594
Phone(415) 750-5942
Fax(415) 750-5594
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 14, 2021
Last NPPES UpdateMay 18, 20224 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1154902930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 STANYAN ST, ST. MARY'S MEDICAL CENTER, San Francisco, CA 94117
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7012484330
PECOS Enrollment IDI20260423002569
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.

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 Braulio Fernandez's NPI number?

The NPI number for Braulio Fernandez is 1154902930. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Braulio Fernandez located?

Braulio Fernandez practices at 450 Stanyan St, St. Mary's Medical Center, San Francisco, CA 94117. The listed phone number is (415) 750-5942.

What is Braulio Fernandez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Braulio Fernandez enrolled in Medicare?

Yes. Braulio Fernandez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Braulio Fernandez was last updated on May 18, 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.