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ANGELICA DE LA FUENTE M.S.
NPI 1629446372
Student in an Organized Health Care Education/Training Program in Santa Monica, CA

Active since September 11, 2015PECOS Enrolled
1339 20TH ST, SANTA MONICA, CA 90404(310) 829-8285 Get Directions Write a Review

NPPES record last updated: September 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Angelica De La Fuente M.s. NPPES

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

ANGELICA DE LA FUENTE M.S. (NPI 1629446372) is an individual student in an organized health care education/training program in Santa Monica, California and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629446372
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANGELICA DE LA FUENTECredential: M.S.
Location Address1339 20TH STSanta Monica, CA 90404-2033
Mailing Address1339 20th StSanta Monica, CA 90404-2033
Phone(310) 829-8285
Sole ProprietorYes
Enumeration DateSeptember 11, 2015
✔ NPI 1629446372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1339 20TH ST, Santa Monica, CA 90404
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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)

Angelica De La Fuente M.s. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Angelica De La Fuente reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Affiliate Group Of New York PC
2,467 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467
Downtown Bronx Medical Associates PC
2,468 mi
Emergency Medical Services
234 E 149TH ST, STE 8D200
Bronx, NY 10451
  • Reassigned Medicare billing, New York enrollment
  • 971 clinicians in this Medicare group
NPI 1689618407 (718) 576-6200

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 20

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

JULIANA CARRANZA LCSW
Social Worker (Clinical)
1339 20TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 829-8609
MS. KATE D MCGINNIS LCSW
Social Worker (Clinical)
1339 20TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 829-8921
CATHARINA LOUISA PRETORIUS
Student in an Organized Health Care Education/Training Program
1339 20TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 829-8921
TASHA BOUCHER M.S.
Marriage & Family Therapist
1339 20TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 829-8573
ANNIE PILL
Social Worker (Clinical)
1339 20TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 829-8558
MR. ADAM CORTEZ MSW, LCSW
Social Worker (Clinical)
1339 20TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 829-8921
ABIGAIL PINEDA LMFT
Marriage & Family Therapist
1339 20TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 829-8921
KATHERINE STRONG MSW, MPH
Counselor (Mental Health)
1339 20TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 829-8586

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 Angelica De La Fuente's NPI number?

The NPI number for Angelica De La Fuente is 1629446372. It was assigned to this individual provider in the NPPES registry on September 11, 2015.

Where is Angelica De La Fuente located?

Angelica De La Fuente practices at 1339 20th St, Santa Monica, CA 90404. The listed phone number is (310) 829-8285.

What is Angelica De La Fuente's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Angelica De La Fuente enrolled in Medicare?

Yes. Angelica De La Fuente is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Angelica De La Fuente's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelica De La Fuente reassigns Medicare benefits to 2 organizations: Physician Affiliate Group Of New York PC (New York, NY) and Downtown Bronx Medical Associates PC (Bronx, NY). Each 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 Angelica De La Fuente'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 Angelica De La Fuente was last updated on September 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.