Maria Elena Fuentes, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A99821 Issued in CA

Practice address

813 Harbor Blvd # 300
West Sacramento, CA 95691-2201

Phone

(916) 682-1088

NPI assigned

Jun 14, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1255535944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 HARBOR BLVD # 300",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912201",
            "telephone_number": "916-682-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 HARBOR BLVD # 300",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912201",
            "telephone_number": "916-682-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A99821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Frank Jr., PHARMACIST
• Sophie Valeria Frederick
• Sidney Bahr Freeman, D.D.S.
• Jacey Fruge
• Alexa Fuentes-Martinez
• Angela C Fuller
• Todd James Gallagher, DPT
• Brenna Gallegos
• Alexandria Garcia
• Breanna Lenae Garcia, BSN, RN

• Family Medicine Physician in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.