MR. SEBASTIAN FUENTES PAC
NPI 1194848457
Physician Assistant - Surgical in Los Angeles, CA

Q: What is Sebastian Fuentes's NPI number?

The NPI number for Sebastian Fuentes is 1194848457. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Q: What is Sebastian Fuentes's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Sebastian Fuentes was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since April 09, 2007PECOS Enrolled

2200 W 3RD ST STE 300, LOS ANGELES, CA 90057(213) 639-2200(213) 368-7739 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Sebastian Fuentes Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SEBASTIAN FUENTES PAC (NPI 1194848457) is an individual surgical provider in Los Angeles, California, licensed in California (PA 18064) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194848457

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. SEBASTIAN FUENTESCredential: PAC

Location Address2200 W 3RD ST STE 300Los Angeles, CA 90057-1936

Mailing Address2200 W 3rd St Ste 300Los Angeles, CA 90057-1936 · (213) 639-2200 · Fax (213) 368-7739

Phone(213) 639-2200

Fax(213) 368-7739

Sole ProprietorNo

Enumeration DateApril 9, 2007

Last NPPES UpdateDecember 2, 2021

✔ NPI 1194848457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA 18064

2200 W 3RD ST STE 300, Los Angeles, CA 90057

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Sebastian Fuentes Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Sebastian Fuentes's NPI number?

The NPI number for Sebastian Fuentes is 1194848457. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Sebastian Fuentes located?

Sebastian Fuentes practices at 2200 W 3rd St Ste 300, Los Angeles, CA 90057. The listed phone number is (213) 639-2200.

What is Sebastian Fuentes's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Sebastian Fuentes enrolled in Medicare?

Yes. Sebastian Fuentes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sebastian Fuentes was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.