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DAGOBERTO FUENTES
NPI 1902316755
Social Worker - Clinical in Los Angeles, CA

Active since October 06, 2017PECOS Enrolled
3800 S FIGUEROA ST, LOS ANGELES, CA 90037(323) 233-0425 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dagoberto Fuentes NPPES

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

DAGOBERTO FUENTES (NPI 1902316755) is an individual clinical provider in Los Angeles, California, licensed in California (88009) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1902316755
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDAGOBERTO FUENTES
Location Address3800 S FIGUEROA STLos Angeles, CA 90037-1206
Mailing Address4211 Avalon BlvdLos Angeles, CA 90011-5622 · (323) 233-0425 · Fax (323) 232-2366
Phone(323) 233-0425
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 6, 2017
Last NPPES UpdateAugust 28, 2019
✔ NPI 1902316755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 88009
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3800 S FIGUEROA ST, Los Angeles, CA 90037
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dagoberto Fuentes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173902095
PECOS Enrollment IDI20220623002978
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 Dagoberto Fuentes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avalon Medical Development Corporation
47 mi
Critical Access
100 FALLS CANYON ROAD
Avalon, CA 90704
  • Reassigned Medicare billing, California enrollment
  • 42 clinicians in this Medicare group
NPI 1346250347 (310) 510-0700
Cyti Health PC
111 mi
Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group
NPI 1679172290 (866) 478-3978

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 90037 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
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 13

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

GREG WONG
Community Health Worker
3800 S FIGUEROA ST
LOS ANGELES, CA 90037
Los Angeles County (323) 233-0425
ALANDA RICKS
Social Worker
3800 S FIGUEROA ST
LOS ANGELES, CA 90037
Los Angeles County (323) 233-0425
ELIZABETH GUDINO
Social Worker
3800 S FIGUEROA ST
LOS ANGELES, CA 90037
Los Angeles County (323) 233-0425
DINA CONTRERAS
Social Worker
3800 S FIGUEROA ST
LOS ANGELES, CA 90037
Los Angeles County (323) 233-0425
MAZDA LAKPOUR
Marriage & Family Therapist
3800 S FIGUEROA ST
LOS ANGELES, CA 90037
Los Angeles County (323) 233-0425
SHAYNA DALEY
Social Worker
3800 S FIGUEROA ST
LOS ANGELES, CA 90037
Los Angeles County (323) 233-0425
ANNETTA TRICE
Case Manager/Care Coordinator
3800 S FIGUEROA ST
LOS ANGELES, CA 90037
Los Angeles County (323) 524-0634
ROSSLYN YVETTE GRAY
Case Manager/Care Coordinator
3800 S FIGUEROA ST
LOS ANGELES, CA 90037
Los Angeles County (323) 524-0645

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 Dagoberto Fuentes's NPI number?

The NPI number for Dagoberto Fuentes is 1902316755. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Where is Dagoberto Fuentes located?

Dagoberto Fuentes practices at 3800 S Figueroa St, Los Angeles, CA 90037. The listed phone number is (323) 233-0425.

What is Dagoberto Fuentes's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Dagoberto Fuentes enrolled in Medicare?

Yes. Dagoberto Fuentes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dagoberto Fuentes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dagoberto Fuentes reassigns Medicare benefits to 2 organizations: Avalon Medical Development Corporation (Avalon, CA) and Cyti Health PC (San Diego, CA). 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 Dagoberto Fuentes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dagoberto Fuentes accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Dagoberto Fuentes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dagoberto Fuentes was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.