DR. NATHANIAL FERNANDEZ MD
NPI 1538212196
Surgery - Vascular Surgery in San Diego, CA

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
34730 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-7177 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 14, 2024, Apr 22, 2024 (2 updates tracked since 2024).

About Dr. Nathanial Fernandez Md NPPES

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

DR. NATHANIAL FERNANDEZ MD (NPI 1538212196) is an individual vascular surgery provider in San Diego, California, licensed in California (C165627) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in La Jolla, and is a graduate of University Of Colorado School Of Medicine, Denver (2000).

NPPES Registry Identity

NPI1538212196
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. NATHANIAL FERNANDEZCredential: MD
Location Address34730 BOB WILSON DRSan Diego, CA 92134-3098
Mailing Address34730 Bob Wilson DrSan Diego, CA 92134-3098 · (619) 532-7177
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2000
Enumeration DateJanuary 18, 2007
Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
NPI 1538212196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · C165627
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License C165627 (CA)
34730 BOB WILSON DR, San Diego, CA 92134

Secondary Practice Location 1

Location 19898 Genesee AveLA Jolla, CA 92037-1205 · Phone (858) 824-5424

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

Dr. Nathanial Fernandez Md 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 ID8820233968
PECOS Enrollment IDI20230228002791
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 92134 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 12

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

Surgery
34730 BOB WILSON DR, GENERAL SURGERY DEPARTMENT
SAN DIEGO, CA 92134
Occupational Therapist (Hand)
34730 BOB WILSON DR
SAN DIEGO, CA 92134
Internal Medicine (Interventional Cardiology)
34730 BOB WILSON DR, CARDIOLOGY, SUITE 303 NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA 92134
Occupational Therapist
34730 BOB WILSON DR, NAVAL MEDICAL CENTER
SAN DIEGO, CA 92134
Internal Medicine
34730 BOB WILSON DR, SUITE 302
SAN DIEGO, CA 92134
Clinical Neuropsychologist
34730 BOB WILSON DR, NEUROSCIENCES DEPARTMENT DVBIC NAVAL MEDICAL CENTER
SAN DIEGO, CA 92134
Surgery
34730 BOB WILSON DR, # 400
SAN DIEGO, CA 92134
Psychologist (Clinical)
34730 BOB WILSON DR, NAVAL MEDICAL CENTER NEUROSCIENCES DEPT DVBIC
SAN DIEGO, CA 92134

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 Nathanial Fernandez's NPI number?

The NPI number for Nathanial Fernandez is 1538212196. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Nathanial Fernandez located?

Nathanial Fernandez practices at 34730 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-7177.

What is Nathanial Fernandez's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Nathanial Fernandez enrolled in Medicare?

Yes. Nathanial 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 Nathanial Fernandez was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.