Mariela Josefina Fuenmayor, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C168841 Issued in CA

Practice address

9015 Murray Ave Ste 100
Gilroy, CA 95020-3675

Phone

(408) 842-7138

NPI assigned

Mar 15, 2008

Last updated

Jun 15, 2020By 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 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Solutions for Children, Families and Individuals

  dba Community Solutions

  • Community/Behavioral Health Agency
  • Morgan Hill, CA
  • NPI 1720205131
  Medicare reassignment NPD
• Criscar P.a.

  • Adult Mental Health Clinic/Center
  • Austin, TX
  • NPI 1902037906
  NPD (past) Authorized official
• Community Solutions for Children, Families and Individuals

  dba La Casa Del Puente

  • Community/Behavioral Health Agency
  • Morgan Hill, CA
  • NPI 1386868107
  NPD

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

{
    "created_epoch": "1205539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1356512578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 RIALTO BLVD STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358556",
            "telephone_number": "512-221-1029",
            "fax_number": "512-467-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 MURRAY AVE STE 100",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203675",
            "telephone_number": "408-842-7138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3215 Steck Ave",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787577566",
            "country_code": "US",
            "telephone_number": "512-467-2500",
            "fax_number": "512-467-2502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Rialto Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358556",
            "country_code": "US",
            "telephone_number": "512-221-1029",
            "fax_number": "512-467-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENMAYOR",
        "first_name": "MARIELA",
        "middle_name": "JOSEFINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-13253",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "B0000",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C168841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyse Freitas
• Robert Michael Freitas, LCSW
• Brett Frick
• Cortley Chris Fritter, PT
• Taylor Mary Frost, BSW
• Angel Fuentes, LMFT
• Damaris Fuentes
• Karina Fuentes
• Aandra Fujita
• Sophia Fulton

• Psychiatry Physician in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.