DR. ANA LUCIA FUENTES BALDARRAGO MD
NPI 1790246684
Internal Medicine - Pulmonary Disease in San Diego, CA

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
4520 EXECUTIVE DR, SAN DIEGO, CA 92121(800) 926-8273 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2025, Aug 4, 2021 (2 updates tracked since 2021).

About Dr. Ana Lucia Fuentes Baldarrago Md NPPES

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

DR. ANA LUCIA FUENTES BALDARRAGO MD (NPI 1790246684) is an individual pulmonary disease provider in San Diego, California, licensed in California (A177124) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Rutgers, Robert Woood Johnson Medical School (2019).

NPPES Registry Identity

NPI1790246684
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ANA LUCIA FUENTES BALDARRAGOCredential: MD
Location Address4520 EXECUTIVE DRSan Diego, CA 92121-3018
Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273
Sole ProprietorNo
Medical School CMSRutgers, Robert Woood Johnson Medical SchoolGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateMay 16, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
NPI 1790246684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · A177124
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License A177124 (CA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A177124 (CA)
4520 EXECUTIVE DR, San Diego, CA 92121

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ana Lucia Fuentes Baldarrago Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769827385
PECOS Enrollment IDI20240305001411
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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 20

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

Internal Medicine (Critical Care Medicine)
4520 EXECUTIVE DR
SAN DIEGO, CA 92121
Pharmacist
4520 EXECUTIVE DR
SAN DIEGO, CA 92121
Dentist
4520 EXECUTIVE DR, SUITE 200
SAN DIEGO, CA 92121
Clinic/Center (Rehabilitation, Substance Use Disorder)
4520 EXECUTIVE DR, SUITE 225
SAN DIEGO, CA 92121
Physician Assistant (Medical)
4520 EXECUTIVE DR
SAN DIEGO, CA 92121
Surgery (Plastic and Reconstructive Surgery)
4520 EXECUTIVE DR, #150
SAN DIEGO, CA 92121
Dietitian, Registered
4520 EXECUTIVE DR, SUITE PLAZA 1
SAN DIEGO, CA 92121
Physical Therapist
4520 EXECUTIVE DR, STE 101
SAN DIEGO, CA 92121

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 Ana Lucia Fuentes Baldarrago's NPI number?

The NPI number for Ana Lucia Fuentes Baldarrago is 1790246684. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Ana Lucia Fuentes Baldarrago located?

Ana Lucia Fuentes Baldarrago practices at 4520 Executive Dr, San Diego, CA 92121. The listed phone number is (800) 926-8273.

What is Ana Lucia Fuentes Baldarrago's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ana Lucia Fuentes Baldarrago enrolled in Medicare?

Yes. Ana Lucia Fuentes Baldarrago is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ana Lucia Fuentes Baldarrago was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.