IndividualActive
Samuel Fernandez
NPI 1417627647 · Behavior Technician · Stockton, CA
Samuel Fernandez is a Behavior Technician provider in Stockton, CA (NPI 1417627647).
Provider details
- NPI number
- 1417627647
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2453 Grand Canal Blvd Ste a
Stockton, CA 95207-8259
Phone: (855) 223-7123
Street-level locationGet directions
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Registry dates
- Enumerated
- 2021-09-19
- Last updated
- 2021-09-19
- Certified
- 2021-09-19
Frequently asked questions
- What is Samuel Fernandez's NPI number?
- Samuel Fernandez's National Provider Identifier (NPI) is 1417627647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Fernandez's specialty?
- Samuel Fernandez is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Samuel Fernandez located?
- Samuel Fernandez's practice location on file with NPPES is 2453 Grand Canal Blvd Ste a, Stockton, CA 95207-8259.
- What is Samuel Fernandez's phone number?
- The practice phone number listed in the NPPES registry for Samuel Fernandez is (855) 223-7123.
- Is Samuel Fernandez's NPI active?
- Yes — Samuel Fernandez's NPI (1417627647) is active in the NPPES registry as of the last update on 2021-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.