Active NPI
Ruth Alicia Fuentes, P.A.-C
- Medical Physician Assistant
- Whittier, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA20640
- Practice address
- 14442 Whittier Blvd
Suite # 105
Whittier, CA 90605-2107 - Phone
- (562) 945-1940
- Fax
- (562) 945-2024
- NPI assigned
- Feb 11, 2010
- Last updated
- May 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA20640 | CA | Primary |
Addresses
Primary practice location
14442 Whittier Blvd
Suite # 105
Whittier, CA 90605-2107
Mailing address
14442 Whittier Blvd
Suite # 105
Whittier, CA 90605-2107
Phone (562) 945-1940
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12214 Lakewood Blvd
Suite 110
Downey, CA 90242-2663
Phone (562) 904-4430
12400 Bloomfield Ave
Santa Fe Springs, CA 90670-4750
Phone (562) 967-2820
12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339
1400 S Harbor Blvd
La Habra, CA 90631-7577
Phone (714) 879-3400
2200 W 3Rd St
Suite 120
Los Angeles, CA 90057-1934
Phone (213) 202-7170
2205 W Beverly Blvd
Montebello, CA 90640-2301
Phone (323) 728-0321
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.61 of 100
- Quality
- 58.7
- Improvement activities
- 40
- Cost
- 75.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20640 | CA | MD | Clinical Social Worker |
| PA20640 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Pih Health Whittier Hospital | Past | Accepting new patients | |
| Bright Medical Associates, Inc. | Past | Accepting new patients | |
| Prohealth Partners a Medical Group Inc | Past | Accepting new patients |
Locations
1011 Baldwin Park Blvd
Baldwin Park, CA 91706
Phone (626) 851-1011
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526
Organizations & group practices 7
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.
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- NPI 1609233899
-
- Health Maintenance Organization
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- NPI 1770515280
-
- Surgery Physician
- Downey, CA
- NPI 1255713566
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Specialist
- Whittier, CA
- NPI 1578576880
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
-
- Orthopaedic Surgery Physician
- Irvine, CA
- NPI 1972933497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1356673685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14442 WHITTIER BLVD",
"address_2": "SUITE # 105",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906052107",
"telephone_number": "562-945-1940",
"fax_number": "562-945-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14442 WHITTIER BLVD",
"address_2": "SUITE # 105",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906052107",
"telephone_number": "562-945-1940",
"fax_number": "562-945-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "RUTH",
"middle_name": "ALICIA",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-11",
"last_updated": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA20640",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1011 Baldwin Park Blvd",
"city": "Baldwin Park",
"state": "CA",
"country_code": "US",
"postal_code": "917065806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.