EDWARD RAYMOND FUENTES JR.
NPI 1063842631
Marriage & Family Therapist in Westminster, CA
About Edward Raymond Fuentes Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD RAYMOND FUENTES JR. (NPI 1063842631) is an individual marriage & family therapist in Westminster, California, licensed in California (105637) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edward Raymond Fuentes Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Edward Fuentes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Westminster, CA 92683
- Reassigned Medicare billing, California enrollment
- 119 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WESTMINSTER, CA 92683
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edward Fuentes's NPI number?
The NPI number for Edward Fuentes is 1063842631. It was assigned to this individual provider in the NPPES registry on November 19, 2013.
Where is Edward Fuentes located?
Edward Fuentes practices at 14140 Beach Blvd Ste 223, Westminster, CA 92683. The listed phone number is (714) 896-7566.
What is Edward Fuentes's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Edward Fuentes enrolled in Medicare?
Yes. Edward Fuentes is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Edward Fuentes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Fuentes reassigns Medicare benefits to County Of Orange (Westminster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Fuentes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Edward Fuentes was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Edward Raymond Fuentes Jr. · NPI 1063842631
Marriage & Family Therapist provider in Westminster, California. Individual provider, active in the CMS NPPES registry since November 19, 2013.
## Identity
- **NPI:** 1063842631 (Entity type: Individual)
- **Enumerated:** November 19, 2013
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 105637 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14140 BEACH BLVD STE 223, Westminster, CA 92683-4453
- **Phone:** (714) 896-7566
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** County Of Orange (NPI 1124165667, Westminster, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063842631) · Data from the CMS NPPES public registry.