Erick Eduardo Fernandez Vidales, FNP is a
Nurse Practitioner - Family based in California City, California. Erick Eduardo Fernandez Vidales is licensed to practice in California (license number 95035410) and his current practice location is
8100 California City Blvd, California City, California. He can be reached at his office (for appointments etc.) via phone at
(818) 651-6608.
NPI number for Erick Eduardo Fernandez Vidales is 1679358816 and his current mailing address is 4444 E Avenue R Spc 144, Palmdale, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679358816.
Provider's Profile
| Full Name | Erick Eduardo Fernandez Vidales |
|---|
| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 8100 California City Blvd, California City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679358816
- Provider Enumeration Date: 08/28/2023
- Last Update Date: 08/12/2025
Medical Identifiers
Medical identifiers for Erick Eduardo Fernandez Vidales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679358816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 95035410 (California) | 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. Erick Eduardo Fernandez Vidales 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 |
|---|
Erick Eduardo Fernandez Vidales, FNP
4444 E Avenue R Spc 144,
Palmdale, CA 93552-6721
Ph: (661) 435-4113 | Erick Eduardo Fernandez Vidales, FNP
8100 California City Blvd,
California City, CA 93505-2648
Ph: (818) 651-6608 |
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