EILEEN FERNANDEZ (NPI# 1750873758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750873758 |
| Entity Type | Individual |
| Full Name | EILEEN FERNANDEZ |
| Practice Address |
615 W Civic Center Dr Fl 2 Santa Ana CA 92701 |
| Mailing Address |
615 W Civic Center Dr Santa Ana CA 92701-4006 |
| Practice Telephone | 7143617950 |
| Mailing Telephone | 7143617950 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 7143617950 | |
| 727 S Beach Blvd, Anaheim, CA 928043104 | 7143381017 | |
| 814 W Chapman Ave, Orange, CA 928682823 | 7143617950 |
| Street Address |
615 W CIVIC CENTER DR FL 2 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437643111 | Amanda Steele | Social Worker | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701-4006 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1982113015 | Deborah Elizabeth Miranda | Counselor | 1200 N. Main St. Suite 650, Santa Ana, CA 92701 | 2017-09-20 |
| Find all providers in zip 92701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1871113175 | Sandy Nunez | Counselor | 1200 N Main St Fl 2, Santa Ana, CA 92701-3640 | 2020-04-16 |
| 1336794056 | Eduardo Lopez | Counselor | 727 S Lyon St Apt B204, Santa Ana, CA 92705-7200 | 2019-08-08 |
| 1356902597 | Shannon Kilgore | Counselor | 2030 E 4th St Ste C-23220, Santa Ana, CA 92705-3940 | 2019-06-27 |
| 1699338475 | Kemper Ian Gottshall | Counselor | 1300 S Grand Ave Bldg C2, Santa Ana, CA 92705-4434 | 2019-04-17 |
| 1013475649 | Shaneska Frederique | Counselor | 1551 W Walnut St Unit 50, Santa Ana, CA 92703-6314 | 2019-03-02 |
| 1659835296 | Rebecca Christina Gastelum | Counselor | 505 N Tustin Ave Ste 233, Santa Ana, CA 92705-3775 | 2019-01-28 |
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1568942688 | Giovanni Casas | Counselor | 2717 W Carlton Pl, Santa Ana, CA 92704-4022 | 2018-08-17 |
| Find all providers in SANTA ANA | ||||
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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.