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AJAY FERNANDEZ DO
NPI 1184327900
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 22, 2023PECOS Enrolled
4501 X ST # G0140, SACRAMENTO, CA 95817(916) 734-8688 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 4, 2024, Mar 22, 2023 (2 updates tracked since 2023).

About Ajay Fernandez Do NPPES

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

AJAY FERNANDEZ DO (NPI 1184327900) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Goodyear.

NPPES Registry Identity

NPI1184327900
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAJAY FERNANDEZCredential: DO
Location Address4501 X ST # G0140Sacramento, CA 95817-2229
Mailing Address6328 Caminito Del CervatoSan Diego, CA 92111-6852 · (408) 421-5930
Phone(916) 734-8688
Sole ProprietorYes
Enumeration DateMarch 22, 2023
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1184327900 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.

4501 X ST # G0140, Sacramento, CA 95817
Open in Google Maps ↗

Secondary Practice Location 1

Location 113677 W McDowell RdGoodyear, AZ 85395-2635 · Phone (623) 882-1500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Other Providers at the Same Location NPPES 4

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

SOO KYOUNG JOANNA KIM MD
Student in an Organized Health Care Education/Training Program
4501 X ST # G0140
SACRAMENTO, CA 95817
Sacramento County (916) 734-8688
MINAHAL NAVEED
Radiology (Radiation Oncology)
4501 X ST # G0140
SACRAMENTO, CA 95817
Sacramento County (916) 734-8688
DR. IJEOMA FRANCESS NWOGUH MD
Student in an Organized Health Care Education/Training Program
4501 X ST # G0140
SACRAMENTO, CA 95817
Sacramento County (916) 734-8688
ANGEL MORAN M.D.
Student in an Organized Health Care Education/Training Program
4501 X ST # G0140
SACRAMENTO, CA 95817
Sacramento County (916) 734-5810

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 Ajay Fernandez's NPI number?

The NPI number for Ajay Fernandez is 1184327900. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Ajay Fernandez located?

Ajay Fernandez practices at 4501 X St # G0140, Sacramento, CA 95817. The listed phone number is (916) 734-8688.

What is Ajay 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 Ajay Fernandez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ajay Fernandez was last updated on June 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.