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ERICK EDUARDO FERNANDEZ VIDALES FNP
NPI 1679358816
Nurse Practitioner - Family in Palmdale, CA

Active since August 28, 2023PECOS EnrolledAccepts Medicare Assignment
38440 5TH ST W, PALMDALE, CA 93551(661) 214-7718(661) 214-7719 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 12, 2026, Nov 12, 2025, Aug 12, 2025 and 2 more (5 updates tracked since 2023).

About Erick Eduardo Fernandez Vidales Fnp NPPES

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

ERICK EDUARDO FERNANDEZ VIDALES FNP (NPI 1679358816) is an individual family provider in Palmdale, California, licensed in California (95035410) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in California City, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1679358816
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameERICK EDUARDO FERNANDEZ VIDALESCredential: FNP
Location Address38440 5TH ST WPalmdale, CA 93551-4498
Mailing Address38440 5th St WPalmdale, CA 93551-4498 · (661) 214-7718 · Fax (661) 214-7719
Phone(661) 214-7718
Fax(661) 214-7719
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 28, 2023
Last NPPES UpdateJanuary 12, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1679358816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95035410
38440 5TH ST W, Palmdale, CA 93551
Open in Google Maps ↗

Secondary Practice Location 1

Location 18100 California City BlvdCalifornia City, CA 93505-2648 · Phone (818) 651-6608

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erick Eduardo Fernandez Vidales Fnp 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 ID4587153697
PECOS Enrollment IDI20251029002745
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Erick Fernandez Vidales reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Accel Medical Group Inc
Same address
General Practice
38440 5TH ST W
Palmdale, CA 93551
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1942026398 (661) 214-7718
Cal City Urgent Care
39 mi
Urgent Care
8100 CALIFORNIA CITY BLVD
California City, CA 93505
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1659092997 (818) 651-6608

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93551 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 3

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

MR. RAMON MEDINA P.A.
Physician Assistant
38440 5TH ST W
PALMDALE, CA 93551
Los Angeles County (661) 214-7718
DR. MANOUCHEHR KHANDADASH M.D.
Pediatrics
38440 5TH ST W
PALMDALE, CA 93551
Los Angeles County (661) 575-2725
ACCEL MEDICAL GROUP INC
General Practice
38440 5TH ST W
PALMDALE, CA 93551
Los Angeles County (661) 214-7718

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 Erick Fernandez Vidales's NPI number?

The NPI number for Erick Fernandez Vidales is 1679358816. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Erick Fernandez Vidales located?

Erick Fernandez Vidales practices at 38440 5th St W, Palmdale, CA 93551. The listed phone number is (661) 214-7718.

What is Erick Fernandez Vidales's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erick Fernandez Vidales enrolled in Medicare?

Yes. Erick Fernandez Vidales 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.

Which organizations bill Medicare for Erick Fernandez Vidales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erick Fernandez Vidales reassigns Medicare benefits to 2 organizations: Accel Medical Group Inc (Palmdale, CA) and Cal City Urgent Care (California City, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erick Fernandez Vidales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Erick Fernandez Vidales was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.