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LUC OCTAVE FONTAINE M.D
NPI 1629000724
Obstetrics & Gynecology in Calexico, CA

Active since July 07, 2006PECOS Enrolled
233 W COLE BLVD, CALEXICO, CA 92231(760) 357-2020(760) 357-1056 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Luc Octave Fontaine M.d NPPES

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

LUC OCTAVE FONTAINE M.D (NPI 1629000724) is an individual obstetrics & gynecology provider in Calexico, California, licensed in California (A36515) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1629000724
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameLUC OCTAVE FONTAINECredential: M.D
Location Address233 W COLE BLVDCalexico, CA 92231-9722
Mailing Address233 W Cole BlvdCalexico, CA 92231-9722 · (760) 357-2020 · Fax (760) 357-1056
Phone(760) 357-2020
Fax(760) 357-1056
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 14, 2016
✔ NPI 1629000724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A36515
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
233 W COLE BLVD, Calexico, CA 92231
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luc Octave Fontaine M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527355122
PECOS Enrollment IDI20170810001687
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.

Medicare Billing Reassignment

Medicare enrollment records show Luc Fontaine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinicas De Salud Del Pueblo, Inc
0.6 mi
Federally Qualified Health Center (FQHC)
223 W COLE BLVD
Calexico, CA 92231
  • Reassigned Medicare billing, California enrollment
  • 135 clinicians in this Medicare group
NPI 1962599266 (760) 357-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92231 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.04 typical visit price
range $58.90 – $176.72
Typical copayment $33.51 (range $14.72 – $44.18)
Most-billed visit code 99204
Established Patient
$73.20 typical visit price
range $19.28 – $144.68
Typical copayment $18.30 (range $4.82 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

ALLAN YANG WU M.D., C.T.B.S.
Obstetrics & Gynecology
233 W COLE BLVD
CALEXICO, CA 92231
Imperial County (760) 344-9951

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 Luc Fontaine's NPI number?

The NPI number for Luc Fontaine is 1629000724. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Luc Fontaine located?

Luc Fontaine practices at 233 W Cole Blvd, Calexico, CA 92231. The listed phone number is (760) 357-2020.

What is Luc Fontaine's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Luc Fontaine enrolled in Medicare?

Yes. Luc Fontaine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luc Fontaine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luc Fontaine reassigns Medicare benefits to Clinicas De Salud Del Pueblo, Inc (Calexico, 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 Luc Fontaine'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 Luc Fontaine was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.