Maria Geraldina Fuentes MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A83896 Issued in CA

Legal business name

MARIA GERALDINA FUENTES MD INC

Practice address

717 3Rd Ave
Chula Vista, CA 91910-5803

Phone

(619) 941-1545

Fax

(619) 941-1558

NPI assigned

Jul 1, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria Geraldina Fuentes, M.D.NPI 1811070261

Title

President

Phone

(619) 941-1545

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Geraldina Fuentes, M.D.

  • Internal Medicine Physician
  • Chula Vista, CA
  • NPI 1811070261
  Medicare reassignment Care Compare group NPD Authorized official
• Maricel Veluz Delacruz

  • Family Nurse Practitioner
  • El Cajon, CA
  • NPI 1700314978
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1508153297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105803",
            "telephone_number": "619-941-1545",
            "fax_number": "619-941-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105803",
            "telephone_number": "619-941-1545",
            "fax_number": "619-941-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA GERALDINA FUENTES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "GERALDINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-941-1545",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A83896",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A83896",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Jingco Marcelo, FNP-C
• Monserrat Marcial Mier, BCBA
• Nina Marco
• Dallyce Marglon, DPT
• Victoriya Margulis
• Maria Guadalupe Estrada-Guevara DDS,Inc.
• Maria I. Zuniga D.D.S. P.C.
• Maria Luisa C. Vales, D.M.D., Inc.
• Maria T Quintana
• Herman Alaric Mariano, DPT

• Family Medicine Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.