JONATHAN ANDREW FUENTES DC
NPI 1619726528
Chiropractor in San Francisco, CA
About Jonathan Andrew Fuentes Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN ANDREW FUENTES DC (NPI 1619726528) is an individual chiropractor in San Francisco, California, licensed in California (36848) and active in the NPI registry since May 2024.
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)
Jonathan Andrew Fuentes Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Fuentes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Walnut Creek, CA 94598
- Reassigned Medicare billing, California enrollment
- 137 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jonathan Fuentes's NPI number?
The NPI number for Jonathan Fuentes is 1619726528. It was assigned to this individual provider in the NPPES registry on May 14, 2024.
Where is Jonathan Fuentes located?
Jonathan Fuentes practices at 1365 4th St, San Francisco, CA 94158. The listed phone number is (415) 788-8700.
What is Jonathan Fuentes's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jonathan Fuentes enrolled in Medicare?
Yes. Jonathan Fuentes is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jonathan Fuentes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Fuentes reassigns Medicare benefits to Integrated Pain Management Medical Group, Inc. (Walnut Creek, 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 Jonathan 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 Jonathan Fuentes was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jonathan Andrew Fuentes, DC · NPI 1619726528
Chiropractor provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since May 14, 2024.
## Identity
- **NPI:** 1619726528 (Entity type: Individual)
- **Enumerated:** May 14, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 36848 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1365 4TH ST, San Francisco, CA 94158-2201
- **Phone:** (415) 788-8700 · **Fax:** (415) 788-8702
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Integrated Pain Management Medical Group, Inc. (NPI 1922198779, Walnut Creek, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619726528) · Data from the CMS NPPES public registry.