DANIELLE ELIZABETH FERNANDES (NPI# 1013228154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013228154 |
| Entity Type | Individual |
| Full Name | DANIELLE ELIZABETH FERNANDES |
| Credential | M.D. |
| Practice Address |
12555 W Jefferson Blvd Ste 302 Los Angeles CA 90066-7032 |
| Mailing Address |
4650 W Sunset Blvd Los Angeles CA 90027-6062 |
| Practice Telephone | 4244435600 |
| Practice Fax Number | 4244435606 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
A124996 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4650 W Sunset Blvd, Los Angeles, CA 900276062 | 3236692113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295155216 | Danielle Marie Fernandes | Pediatrics | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2014-04-17 |
| Street Address |
12555 W JEFFERSON BLVD STE 302 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-7032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134145154 | Danelle M Fisher | Pediatrics | 12555 W Jefferson Blvd Ste 302, Los Angeles, CA 90066-7032 | 2006-07-14 |
| 1245427350 | Daniel Ing Pak Lau | Pediatrics | 12555 W Jefferson Blvd Ste 302, Los Angeles, CA 90066-7032 | 2007-10-02 |
| 1831215698 | Amy Mara Shapiro | Pediatrics | 12555 W Jefferson Blvd Ste 302, Los Angeles, CA 90066-7032 | 2007-03-22 |
| 1164569091 | Jeffrey Philip Bourne | Pediatrics | 12555 W Jefferson Blvd Ste 302, Los Angeles, CA 90066-7032 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1700012317 | Paibel Ixia Aguayo-hiraldo | Pediatrics | 4650 W Sunset Blvd # M54, Los Angeles, CA 90027 | 2009-06-09 |
| 1578746889 | Toska J Zomorodian | Pediatrics | 4650 W Sunset Blvd # 54, Los Angeles, CA 90027-6062 | 2007-12-10 |
| 1861512881 | Michael Marvin Siegel | Pediatrics | 2716 Creston Dr, Los Angeles, CA 90068-2210 | 2007-03-31 |
| 1225107410 | Robert Charles Seeger | Pediatrics | 4650 W Sunset Blvd # 57, Los Angeles, CA 90027-6062 | 2006-11-06 |
| 1144223926 | Fariba Navid | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2005-05-24 |
| 1386275881 | Jennifer Haas | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-02-03 |
| 1588097950 | Vasilios Berdoukas | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2013-08-20 |
| 1255770046 | Kristiyana Ivanova Kaneva | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2013-06-14 |
| 1730522194 | Theodore Scott Nowicki | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095 | 2013-04-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on DANIELLE ELIZABETH FERNANDES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.