Mr Shaun Eric Fernandez, is a
Community Health Worker based in Claremont, California. Mr Shaun Eric Fernandez is licensed to practice in * (Not Available) (license number ) and his current practice location is
2243 N Mountain Ave, Claremont, California. He can be reached at his office (for appointments etc.) via phone at
(909) 635-5778.
NPI number for Mr Shaun Eric Fernandez is 1174271258 and his current mailing address is 2243 N Mountain Ave, Claremont, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174271258.
Healthcare Provider's Profile
Full Name | Mr Shaun Eric Fernandez |
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Gender | Male |
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Speciality | Community Health Worker |
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Location | 2243 N Mountain Ave, Claremont, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174271258
- Provider Enumeration Date: 03/16/2022
- Last Update Date: 07/03/2023
Medical Identifiers
Medical identifiers for Mr Shaun Eric Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174271258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (California) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shaun Eric Fernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Shaun Eric Fernandez, 2243 N Mountain Ave, Claremont, CA 91711-1586 Ph: (909) 635-5778 | Mr Shaun Eric Fernandez, 2243 N Mountain Ave, Claremont, CA 91711-1586 Ph: (909) 635-5778 |
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