Active NPI
Vilma Fuentes, LICENSEDPSYCHOLOGIST
- Counseling Psychologist
- Orange, CA
National Provider Identifier
1487724472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 301 City Drive
Orange, CA 92868 - Phone
- (714) 935-6363
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | CA | Primary |
Addresses
Primary practice location
301 City Drive
Orange, CA 92868
Mailing address
PO Box 27874
Anaheim, CA 92809
Phone (714) 935-6135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1487724472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27874",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92809",
"telephone_number": "714-935-6135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CITY DRIVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-935-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "VILMA",
"credential": "LICENSEDPSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.