Eloisa Fernandez Fuentes

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A88207 Issued in CA

Practice address

923 Menlo Avenue
#3
Menlo Park, CA 94025

Phone

(650) 566-8763

NPI assigned

Jun 11, 2008

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Urological Surgeons of Northern California, Inc.

  • Urology Physician
  • San Jose, CA
  • NPI 1528203338
  NPD (past)

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1356501647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 MENLO AVE APT 3",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254623",
            "telephone_number": "650-566-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 MENLO AVENUE",
            "address_2": "#3",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "94025",
            "telephone_number": "650-566-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "ELOISA",
        "middle_name": "FERNANDEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A88207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Franklin, MSN, RN, PHN, FNP-C
• Linda Hannah Fresco, MD
• Amy C Friedman, LMFT
• Scott D Fross, DDS
• Ariel Baxterbeck Fruendt, AU.D.
• Gina Jing Fung, RD
• Gail Caslib Gabriel, MS, OTR/L
• Jan C. Gabus, D.D.S.
• Andreia Roxana Gafton, M.D.
• Mary Andrea Galang, LVN

• Anatomic Pathology & Clinical Pathology Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.