Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlo Fernandes, DO

Individual provider Family Medicine Physician · NPI 1477907905

Carlo Fernandes, DO is a Family Practice in Modesto, California. Qualified in 2016, 10 years ago. Works from 3 locations. Licensed in California and Michigan.

Years since qualifying
10
Licensed in
CA, MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1524 McHenry Ave
Modesto, CA 95350-4500
Phone: (209) 722-4842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3031 W Grand Blvd, Detroit, MI 48202-3046 — (708) 567-0007
  • 2313 E Hill Rd, Grand Blanc, MI 48439-5059 — (810) 496-0900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A17851 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5101022830 (MI)

Record details

NPI number1477907905
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 21, 2016
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address7916 Lake St, River Forest, IL 60305-1711

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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