Ralph Vincent Aguinaldo Fontejon, MSN APRN FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95012620 Issued in CA

Practice address

11357 Etiwanda Ave
Porter Ranch, CA 91326-2011

Phone

(818) 835-7640

NPI assigned

Aug 30, 2019

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

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Serra Community Medical Clinic IncGroup PAC ID 6204732928, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.08 of 100Reported as group

Quality

46.85

Promoting interoperability

74

Improvement activities

40

Cost

71.74

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Serra Community Medical Clinic Inc

  • Adult Medicine Physician
  • Sun Valley, CA
  • NPI 1275545725
  Medicare reassignment Care Compare group NPD
• SFV Health Center Inc

  dba Elevate Health Center

  • Federally Qualified Health Center (FQHC)
  • Sun Valley, CA
  • NPI 1487298477
  Medicare reassignment NPD
• Serra Community Medical Clinic Inc

  dba Serra Community Medical Clinic- Van Nuys

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1356015580
  NPD
• Serra Community Medical Clinic, Inc.

  dba Serra Community Medical Clinic- Pacoima

  • Internal Medicine Physician
  • Pacoima, CA
  • NPI 1477134302
  NPD
• SFV Health Center Inc

  dba Elevate Health Center

  • Federally Qualified Health Center (FQHC)
  • Sun Valley, CA
  • NPI 1801663695
  NPD

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1477101624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11357 ETIWANDA AVE",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262011",
            "telephone_number": "818-835-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11357 ETIWANDA AVE",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262011",
            "telephone_number": "818-835-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTEJON",
        "first_name": "RALPH VINCENT",
        "middle_name": "AGUINALDO",
        "credential": "MSN APRN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rfontejon@mednet.ucla.edu",
            "affiliation": "N",
            "address_1": "11357 Etiwanda Ave",
            "city": "Porter Ranch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913262011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Lin Emi, M.D.
• Federal Home Health Agency Inc
• Selin Fidantek, LMFT
• Negarin Firooz
• Firstsight Vision Services, Inc.
• Sharmaine Francisco
• Guillermo Franco, PSY.D.
• Rosa Franco, PSYD
• Eileen Freedman, LMFT
• James Gordon Friesen

• Family Nurse Practitioner in Porter Ranch, CA
• Providers in Porter Ranch, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.

Verify at the official NPI Registry.