MR. ALFRED FUENTES JR. PA-C - NPI 1235409566 - Physician Assistant in Gardena, CA

Q: What is Alfred Fuentes's NPI number?

The NPI number for Alfred Fuentes is 1235409566. It was assigned to this individual provider in the NPPES registry on January 4, 2012.

Q: What is Alfred Fuentes's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Alfred Fuentes was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

On this page

About Mr. Alfred Fuentes Jr. Pa-c NPPES

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

MR. ALFRED FUENTES JR. PA-C (NPI 1235409566) is an individual medical provider in Gardena, California, licensed in California (PA 11705) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235409566

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. ALFRED FUENTES JR.Credential: PA-C

Location Address14127 S VERMONT AVEGardena, CA 90247-2205

Mailing Address14127 S Vermont AveGardena, CA 90247-2205 · (310) 532-1650 · Fax (310) 532-2036

Phone(310) 532-1650

Fax(310) 532-2036

Sole ProprietorYes

Enumeration DateJanuary 4, 2012

✔ NPI 1235409566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA 11705

14127 S VERMONT AVE, Gardena, CA 90247

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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. Alfred Fuentes Jr. Pa-c 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALFONSO M. BAEZ, M.D., INC.

Point of Service

14127 S VERMONT AVE
GARDENA, CA 90247

Los Angeles County (310) 532-1650

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 Alfred Fuentes's NPI number?

The NPI number for Alfred Fuentes is 1235409566. It was assigned to this individual provider in the NPPES registry on January 4, 2012.

Where is Alfred Fuentes located?

Alfred Fuentes practices at 14127 S Vermont Ave, Gardena, CA 90247. The listed phone number is (310) 532-1650.

What is Alfred Fuentes's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alfred Fuentes enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alfred Fuentes was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.