GEOVER FERNANDEZ (MD) – MOHS-Micrographic Surgery Physician, NPI 1639103138

GEOVER FERNANDEZ (MD) is a healthcare provider. based in Redondo beach, California. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. A103070 (CA). The NPI Number for GEOVER FERNANDEZ (MD) is 1639103138

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
GEOVER FERNANDEZ (MD)
NPI
1639103138
Phone
(310) 798-1515
Address
520 N PROSPECT AVE
Enumeration Date
10 July 2006
Last Update Date
2 January 2013

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
5624318554
Graduation Year
2002 (24 years ago)
PAC ID
5597766303
Group Practice PAC ID
7315974375
Professional Enrollment ID
I20081013000130
Address ID
CA907406643SE500XX212X500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for GEOVER FERNANDEZ (MD)

  • 520, North Prospect Avenue, Redondo Beach, Los Angeles County, California, 90277, United States

    SUITE 302

    REDONDO BEACH, CA 902773041

    Phone: (310) 798-1515

    Fax: (310) 798-3131

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 154 Open Payments records for all available years, with a total value of $3,273.

Total Amount is formed as General ($3,273) + Research ($0) + Ownership ($0) = $3,273.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,157).

Total Amount

$3,273

General + Research + Ownership

Payments

154

Total payment records

General Amount

$3,273

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081013000130IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity4,0201,455$0
17003Destruction of precancer skin growth, 2-14 growths2,709448$0
99213Established patient office or other outpatient visit, 20-29 minutes1,235836$0
11103Biopsy of related skin growth, each additional growth1,233482$0
11102Biopsy of related skin growth, first growth1,161823$0
View full utilization report →

Insurance plans in this area (ZIP 90277)

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Provider's Procedures

GEOVER FERNANDEZ (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA11101Biopsy of each additional growth of skin and/or tissue437232
DERMATOLOGYCA13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet2827
DERMATOLOGYCA17003Destruction of 2-14 skin growths1646247

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315974375View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
Physician AssistantCA
Physician AssistantCA
D E R M A T O L O G YCA
Physician AssistantCA
-CA
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA
-CA

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Frequently asked questions

What is the registry number for GEOVER FERNANDEZ (MD)?
The registry entry for GEOVER FERNANDEZ (MD) shows NPI 1639103138.
Should I treat GEOVER FERNANDEZ (MD) as an active provider?
Patients and plans typically see GEOVER FERNANDEZ (MD) as active in the national extract.
Which specialty label fits GEOVER FERNANDEZ (MD)?
NPPES ties GEOVER FERNANDEZ (MD) to MOHS-Micrographic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to GEOVER FERNANDEZ (MD)?
The directory associates GEOVER FERNANDEZ (MD) with Redondo Beach, California. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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