DR. RAYMOND C FERNANDEZ MD
NPI 1629039532
Internal Medicine in Laguna Hills, CA

Q: What is Raymond Fernandez's NPI number?

The NPI number for Raymond Fernandez is 1629039532. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Q: What is Raymond Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Raymond Fernandez was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 30, 2006PECOS Enrolled

83.27/100

CMS Quality Rating

24221 CALLE DE LA LOUISA, SUITE 200, LAGUNA HILLS, CA 92653(949) 465-8155(949) 465-8159 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Raymond C Fernandez Md NPPES

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

DR. RAYMOND C FERNANDEZ MD (NPI 1629039532) is an individual internal medicine provider in Laguna Hills, California, licensed in California (A042637) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629039532

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. RAYMOND C FERNANDEZCredential: MD

Location Address24221 CALLE DE LA LOUISA, SUITE 200Laguna Hills, CA 92653-7638

Mailing Address24221 Calle De La Louisa, Suite 400Laguna Hills, CA 92653-7638 · (949) 588-8700 · Fax (949) 465-8159

Phone(949) 465-8155

Fax(949) 465-8159

Sole ProprietorNo

Enumeration DateMarch 30, 2006

Last NPPES UpdateSeptember 28, 2011

✔ NPI 1629039532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A042637

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

24221 CALLE DE LA LOUISA, Laguna Hills, CA 92653

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Other Identifiers 2

Medicare UPINA29616

Medicare ID-Type UnspecifiedWA42637CCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raymond C Fernandez Md 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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

388 services240 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

223 services221 patients

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446

This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.

215 services215 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

213 services213 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

213 services213 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

212 services212 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

208 services208 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

48 services46 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

41 services40 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

34 services34 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

28 services28 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

27 services27 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

64.91

Promoting Interoperability

Improvement Activities

Cost

81.84

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)

100%74 patients5/55-star benchmark: 100%

Breast Cancer Screening

2%192 patients1/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

4%182 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

56%433 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

66%312 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

78%2,436 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

16%769 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

42%967 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

7%714 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

24%924 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 68% · 882 patients

Patients screened: 70% · 882 patients

10%21 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

95%494 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 6% · 790 patients

Patients totalRate: 13% · 790 patients

9%790 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers11 claims30 services$6.77 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

2 suppliers11 claims76 services$5.52 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

2 suppliers11 claims950 services$0.23 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

3 suppliers16 claims525 services$0.23 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers31 claims34 services$14.42 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers46 claims46 services$60.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. KIMVIR S DHILLON MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653

Orange County (949) 465-8145

DR. JAMES M TRENBEATH MD

Internal Medicine (Gastroenterology)

24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653

Orange County (949) 770-7163

CUONG PHU LY M.D.

Internal Medicine (Nephrology)

24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653

Orange County (949) 707-1059

DR. MARK D SHIELDS MD

Internal Medicine

24221 CALLE DE LA LOUISA, SUITE 200
LAGUNA HILLS, CA 92653

Orange County (949) 588-8700

SADDLEBACK MEDICAL GROUP INC

Internal Medicine (Gastroenterology)

24221 CALLE DE LA LOUISA, SUITE 400
LAGUNA HILLS, CA 92653

Orange County (949) 465-8155

DR. NATHANIEL DAT HO M.D.

Internal Medicine (Nephrology)

24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653

Orange County (949) 707-1059

CATHERINE BAO NGO M.D.

Internal Medicine (Gastroenterology)

24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653

Orange County (949) 770-7163

DR. CECILIA H TRAN MD

Internal Medicine

24221 CALLE DE LA LOUISA, SUITE 200
LAGUNA HILLS, CA 92653

Orange County (949) 420-5980

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 Raymond Fernandez's NPI number?

The NPI number for Raymond Fernandez is 1629039532. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Raymond Fernandez located?

Raymond Fernandez practices at 24221 Calle De La Louisa Suite 200, Laguna Hills, CA 92653. The listed phone number is (949) 465-8155.

What is Raymond Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raymond Fernandez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Raymond Fernandez was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.