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

Nicolette Fernandez

Individual provider Occupational Therapy Assistant · NPI 1336788041

Nicolette Fernandez is an Occupational Therapy Assistant in Long Beach, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

3401 Cedar Ave
Long Beach, CA 90807-4422
Phone: (562) 426-4461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA3614 (CA)

Record details

NPI number1336788041
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 27, 2019
Last updated in NPPESDecember 27, 2019
Certification dateDecember 27, 2019
Mailing address7605 El Capitan Way, Buena Park, CA 90620-1818

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