Janice Raquel Fuentes, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A118821 Issued in CA

Practice address

24671 Monroe Ave # C102
Murrieta, CA 92562-9589

Phone

(951) 797-4446

Fax

(833) 989-2495

NPI assigned

Apr 15, 2010

Last updated

Dec 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Janice Raquel Fuentes Delgado Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22624/brand/1/csg/1/fhir/r4
• Direct secure messaging: janice.fuentes.1@22624.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Neurology, Inc.

  • Neurology Physician
  • Murrieta, CA
  • NPI 1104434075
  Medicare reassignment NPD Authorized official
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834
  Medicare reassignment Care Compare group NPD
• Cep America - Neurology PC

  dba Vituity

  • Neurology Physician
  • Santa Barbara, CA
  • NPI 1225569346
  Medicare reassignment NPD
• Faculty Physicians and Surgeons of Llusm

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Apple Valley, CA
  • NPI 1205009917
  Medicare reassignment NPD
• Cep America - Neurology PC

  dba Vituity

  • Neurology Physician
  • Riverside, CA
  • NPI 1245761451
  NPD
• Faculty Physicians and Surgeons of Llusm

  • Family Medicine Physician
  • Moreno Valley, CA
  • NPI 1558788331
  NPD
• Faculty Physicians and Surgeons of Llusm

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1679043400
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Cep America - Neurology PC

  • Neurology Physician
  • Terre Haute, IN
  • NPI 1124843586
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1053637918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24671 MONROE AVE # C102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629589",
            "telephone_number": "619-306-1127",
            "fax_number": "833-989-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24671 MONROE AVE # C102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629589",
            "telephone_number": "951-797-4446",
            "fax_number": "833-989-2495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11234 Anderson St",
            "address_2": "GME Office CP 21005",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542804",
            "country_code": "US",
            "telephone_number": "619-306-1127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7117 Brockton Ave Ofc CP 21005",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062658",
            "country_code": "US",
            "telephone_number": "951-782-6218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38860 Sky Canyon Dr Bldg A",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925632518",
            "country_code": "US",
            "telephone_number": "442-777-5920",
            "fax_number": "951-466-2744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "JANICE",
        "middle_name": "RAQUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A118821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "FUENTES DELGADO",
            "middle_name": "RAQUEL",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Diane B. Friederich, M.A., CCC-SLP
• Daniel Lane Friedlich, MD
• Dustin George Fristed, MPH, RD
• Meghan Yvonne Fruhling, AGNP-C
• Xiuping Fu
• Rula Raban Fuertez, MD
• Kentavia Fugate
• G.Olague, DDS & R. Deza DDS Apc
• G.R.I.T.S. Collective a Marriage and Family Therapy Corporation (G.R.I.T.S. Collective)
• Michele Gaddis, SLP

• Neurology Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.