Individual provider Active NPI

Marco Antonio Fuentes

  • Community Health Worker
  • Santa Barbara, CA
National Provider Identifier
1154287688
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
602 Anacapa St
Santa Barbara, CA 93101-1615
Phone
(805) 964-8857
NPI assigned
Dec 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CA Primary

Addresses

Primary practice location

602 Anacapa St
Santa Barbara, CA 93101-1615

Mailing address

734 Embarcadero del Mar Apt 1
Goleta, CA 93117-7608
Phone (805) 964-8857

Other practice location 1

200 N H St
Lompoc, CA 93436-6022
Phone (805) 400-2070

Other practice location 2

201 W Chapel St
Santa Maria, CA 93458-4303
Phone (805) 922-2243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Commission of Santa Barbara County CurrentSince Jan 4, 2026 Accepting new patients
Community Action Commission of Santa Barbara County CurrentSince Dec 21, 2025 Accepting new patients

Locations

200 N H St
Lompoc, CA 93436
Phone (805) 400-2070

602 Anacapa St
Santa Barbara, CA 93101
Phone (805) 962-8179

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1154287688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 EMBARCADERO DEL MAR APT 1",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931177608",
            "telephone_number": "805-964-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 ANACAPA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011615",
            "telephone_number": "805-964-8857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N H St",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "934366022",
            "country_code": "US",
            "telephone_number": "805-400-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 W Chapel St",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934584303",
            "country_code": "US",
            "telephone_number": "805-922-2243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.