MRS. THERESE MARIEL FONSECA FNP
NPI 1902629348
Nurse Practitioner - Family in Lancaster, CA

Q: What is Therese Fonseca's NPI number?

The NPI number for Therese Fonseca is 1902629348. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Q: What is Therese Fonseca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Therese Fonseca was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since November 04, 2024PECOS Enrolled

43322 GINGHAM AVE, LANCASTER, CA 93535(661) 874-4050 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Therese Mariel Fonseca Fnp NPPES

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

MRS. THERESE MARIEL FONSECA FNP (NPI 1902629348) is an individual family provider in Lancaster, California, licensed in California (95032530) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902629348

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. THERESE MARIEL FONSECACredential: FNP

Location Address43322 GINGHAM AVELancaster, CA 93535-4576

Mailing Address40301 Preston RdPalmdale, CA 93551-5357

Phone(661) 874-4050

Sole ProprietorYes

Enumeration DateNovember 4, 2024

NPPES CertifiedNovember 4, 2024

✔ NPI 1902629348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95032530

Also ListedRegistered NurseTaxonomy 163W00000X · License 95185009 (CA)

43322 GINGHAM AVE, Lancaster, CA 93535

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Therese Mariel Fonseca Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93535 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

DR. MIRIAM NAZMY MD

Family Medicine