IGNACIO FERNANDEZ (NPI# 1629481205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629481205 |
| Entity Type | Individual |
| Full Name | IGNACIO FERNANDEZ |
| Credential | CADC-CAS |
| Practice Address |
4600 47th Ave Ste 102 Sacramento CA 95824 |
| Mailing Address |
4600 47th Ave Ste 102 Sacramento CA 95824-3923 |
| Practice Telephone | 9164544242 |
| Mailing Telephone | 9164544242 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2019-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4441 Auburn Blvd, Sacramento, CA 958414139 | 9164735764 |
| Street Address |
4600 47TH AVE STE 102 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891965877 | Cheryl Brown | Counselor | 4600 47th Ave Ste 102, Sacramento, CA 95824-3923 | 2008-03-06 |
| 1750988580 | Luis Perez | Counselor | 4600 47th Ave Ste 102, Sacramento, CA 95824-3923 | 2020-10-05 |
| 1578185088 | Frantiska Rayfield | Counselor | 4600 47th Ave Ste 102, Sacramento, CA 95824-3923 | 2020-05-07 |
| 1770117939 | Christiane Dobbins | Counselor | 4600 47th Ave Ste 102, Sacramento, CA 95824-3923 | 2020-02-26 |
| 1780224808 | Lisa Gonsalves | Counselor | 4600 47th Ave Ste 102, Sacramento, CA 95824-3923 | 2020-01-07 |
| 1457997033 | Bertha Bell-udeze | Counselor | 4600 47th Ave Ste 102, Sacramento, CA 95824-3923 | 2019-11-19 |
| 1801438379 | Kevin Murray | Counselor | 4600 47th Ave Ste 102, Sacramento, CA 95824-3923 | 2019-10-16 |
| 1447892914 | Mamelyn Reyes | Counselor | 4600 47th Ave Ste 102, Sacramento, CA 95824-3923 | 2019-10-16 |
| 1831559624 | Sobriety Brings A Change | Community/Behavioral Health | 4600 47th Ave Ste 102, Sacramento, CA 95824-3923 | 2016-03-07 |
| 1336509389 | Chris Marshall | Counselor | 4600 47th Ave Ste 102, Sacramento, CA 95824-3923 | 2016-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841701422 | Nhlanhla Moyo | Registered Nurse | 3301 37th Street, Sacramento, CA 95824 | 2017-10-23 |
| 1275069650 | Tacoquya Brumfield | Behavior Technician | 5100 South West Ave Apt D, Sacramento, CA 95824 | 2017-05-04 |
| 1639485758 | Louis Alexander Rosales | Physician Assistant | 5385 Frnaklin Blvd, Ste K, Sacramento, CA 95824 | 2010-08-26 |
| 1215182878 | Nancie A. Kenton | Psychologist | 5735 47th Ave., Sacramento, CA 95824 | 2008-11-24 |
| 1447400049 | Jasmine Hernandez | Counselor | 4600 46th Ave., Sacramento, CA 95824 | 2008-09-19 |
| 1023152592 | Michelle Monic Villavicencio | Case Manager/Care Coordinator | 4500 47th Avenue, Suite 5, Sacramento, CA 95824 | 2007-02-17 |
| 1457362584 | Myron Robert Powell | Dentist | 4500 47th Ave, Ste 1, Sacramento, CA 95824 | 2006-08-11 |
| 1073645859 | Marneshia Leandia Hart | Counselor | 4600 47th Ave, Suite 111, Sacramento, CA 95824 | 2007-03-09 |
| 1386772473 | Janice Sheree Hunter | Marriage & Family Therapist | 4600 47th Ave Ste 111, Sacramento, CA 95824 | 2007-03-01 |
| 1689718181 | Beatrice Taylor | Counselor | 4730 47th Ave Ste 300, Sacramento, CA 95824 | 2007-02-16 |
| Find all providers in zip 95824 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472440 | Jamie Lee Byrnes | Counselor | 777 12th St Ste 250, Sacramento, CA 95814-1929 | 2020-09-16 |
| 1104431519 | Sally Kathleen Montazer | Counselor | 1134 Clinton Rd, Sacramento, CA 95825-7304 | 2020-09-11 |
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1972127611 | Brianna Hope Barron | Counselor | 8950 Cal Center Dr Ste 160&165, Sacramento, CA 95826-3259 | 2020-05-28 |
| 1699398420 | Selena Marie Brown | Counselor | 8084 Weeping Willow Ln, Sacramento, CA 95828-5395 | 2020-05-27 |
| 1346863222 | Erin Harris | Counselor | 2819 Norcade Cir Apt 1, Sacramento, CA 95826-3427 | 2020-05-26 |
| 1023638566 | Marta Yomara Rodriguez | Counselor | 5311 College Oak Dr Apt 16, Sacramento, CA 95841-2575 | 2020-04-24 |
| 1033739321 | Yancey Outreach International Inc. | Counselor | 1457 Dreamy Way, Sacramento, CA 95835-1761 | 2020-04-16 |
| 1114554136 | Cassandra Arlene Del Toro Ruiz | Counselor | 2403 Yreka Ave # 15, Sacramento, CA 95822-4466 | 2020-03-27 |
| 1952931487 | Anisa Sims | Counselor | 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 | 2020-01-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95824 |
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| 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.