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

Earvin Jay Fernandez Tanedo

Individual provider Specialist · NPI 1093545089

Earvin Jay Fernandez Tanedo is a Specialist in Berkeley, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2640 Martin Luther King Jr Way
Berkeley, CA 94704-3238
Phone: (510) 714-0996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1093545089
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

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