Jose L Fuentes, PH.D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

24230 Barton Rd
Loma Linda, CA 92354-3232

Phone

(190) 979-6930

Fax

(909) 799-7320

NPI assigned

Jan 25, 2008

Last updated

Jan 25, 2008By the provider in NPPES

Sex

Male

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 Philosophy

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.

• Fuentes Family Counseling, Inc.

  • Clinical Neuropsychologist
  • Loma Linda, CA
  • NPI 1659559136
  Authorized official Same address or phone

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1316124969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24230 BARTON RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543232",
            "telephone_number": "190-979-6930",
            "fax_number": "909-799-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24230 BARTON RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543232",
            "telephone_number": "190-979-6930",
            "fax_number": "909-799-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "JOSE",
        "middle_name": "L",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geir Paul Frivold, M.D.
• Janil Shantil Frost-Davis
• Jason John Fry, CRNA, DNP
• Armen Karo Fstkchian, PHARMD
• Fuentes Family Counseling, Inc.
• Scott Thomas Fujimoto, D.O.
• Ashley Fukuchi, PHARMD
• Corey Brandon Fuller, MD
• Jennifer Carroll Fuller
• Juliana Noel Fuller, NP

• Clinical Neuropsychologist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.