Sophia J Fernandes, PA-C
Physician Assistant in Worcester, Massachusetts
1639642077- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 508-334-4161
- Fax
- 508-334-3518
- Last updated
- December 30, 2025
Sophia J. Fernandes is a Physician Assistant based in Worcester, MA. Sophia J. Fernandes practices in Worcester, MA and has the professional credentials of PA-C. The NPI Number for Sophia J. Fernandes is 1639642077 and holds a License No. PA6870 (MA). The current practice location address for Sophia J. Fernandes is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-4161 and via fax at 508-334-3518.
Provider Profile Details
- NPI Number
- 1639642077
- Provider Name
- Sophia J. Fernandes
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 508-334-4161
- Fax Number
- 508-334-3518
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 8, 2019
- Last Update Date
- December 30, 2025
- Certification Date
- December 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-334-4161
- Fax Number
- 508-334-3518
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
License Information
- License Number (1)
- PA6870
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- PA6870
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sophia J Fernandes, PA-C?
The NPI number of Sophia J Fernandes, PA-C is 1639642077. It was assigned on January 8, 2019 and is currently active in the NPPES registry.
What is the specialty of Sophia J Fernandes, PA-C?
Sophia J Fernandes, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA6870.
Where does Sophia J Fernandes, PA-C practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-334-4161 (phone) or 508-334-3518 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639642077 directly on the NPPES registry website.