Jonathan Andrew Fuentes, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36848 Issued in CA

Practice address

1365 4TH St
San Francisco, CA 94158-2201

Phone

(415) 788-8700

Fax

(415) 788-8702

NPI assigned

May 14, 2024

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Integrated Pain Management Medical Group, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Walnut Creek, CA
  • NPI 1922198779
  Medicare reassignment NPD
• Wong Momentum Chiropractic Corp

  • Chiropractor
  • San Jose, CA
  • NPI 1255023065
  Medicare reassignment NPD
• Beytin and Guillett Chiropractic

  • Chiropractor
  • San Jose, CA
  • NPI 1225300619
  NPD

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1619726528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 2ND AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664506",
            "telephone_number": "818-669-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 4TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582201",
            "telephone_number": "415-788-8700",
            "fax_number": "415-788-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorrene Kenae Fudge
• Elena Fuentes-Afflick, MD MPH
• Charlene Joyce Fuentes, PSY.D.
• Cynthia Virginia Fuentes, M.D.
• Eric Romo Fuentes
• Steven Hugh Fugaro, M.D.
• Eric Fuh, M.D.
• Katherine Cynthia Fuh, MD
• Kelly Fuhlrodt, RADT
• Poonrada Fuhrer

• Chiropractor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.