MARIA GERALDINA FUENTES MD INC
NPI 1508153297
Family Medicine in Chula Vista, CA

Active since July 01, 2011CLIA 05D2083216 · Waiver
717 3RD AVE, CHULA VISTA, CA 91910(619) 941-1545(619) 941-1558 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maria Geraldina Fuentes Md Inc NPPES

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

MARIA GERALDINA FUENTES MD INC (NPI 1508153297) is a healthcare organization registered as a family medicine in Chula Vista, California and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through August 28, 2026 and lists Maria Geraldina Fuentes, President, as its authorized official.

NPPES Registry Identity

NPI1508153297
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARIA GERALDINA FUENTES MD INC
Location Address717 3RD AVEChula Vista, CA 91910-5803
Mailing Address717 3rd AveChula Vista, CA 91910-5803 · (619) 941-1545 · Fax (619) 941-1558
Fax(619) 941-1558
Organization SubpartNo
Authorized OfficialMaria Geraldina FuentesPresident · (619) 941-1545
Enumeration DateJuly 1, 2011
Last NPPES UpdateMay 20, 2014
NPI 1508153297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A83896
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X
717 3RD AVE, Chula Vista, CA 91910

Other Identifiers 1

MedicaidA83896CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2083216

Maria Geraldina Fuentes MD Inc · Chula Vista, CA
Active · expires Aug 28, 2026
CLIA Number05D2083216
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorMaria G. Fuentes
Laboratory Phone(619) 941-1545
Laboratory LocationMaria Geraldina Fuentes MD Inc717 Third Ave, Chula Vista, CA 91910
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine
717 3RD AVE
CHULA VISTA, CA 91910

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 Maria Geraldina Fuentes MD Inc's NPI number?

The NPI number for Maria Geraldina Fuentes MD Inc is 1508153297. It was assigned to this organization in the NPPES registry on July 1, 2011.

Where is Maria Geraldina Fuentes MD Inc located?

Maria Geraldina Fuentes MD Inc is located at 717 3rd Ave, Chula Vista, CA 91910. The listed phone number is (619) 941-1545.

What is Maria Geraldina Fuentes MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Maria Geraldina Fuentes MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2083216) is associated with this NPI, valid through August 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maria Geraldina Fuentes MD Inc was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.