Active NPI
Ana Fuentes Calderon
- Behavior Analyst
- La Mesa, CA
National Provider Identifier
1639602691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-46457
- Practice address
- 7253 Purdue Ave
La Mesa, CA 91942-5919 - Phone
- (619) 844-7736
- NPI assigned
- Apr 6, 2017
- Last updated
- Nov 28, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-46457 | CA | Primary |
| Assistant Behavior Analyst | 106E00000X | 0-17-7616 | CA |
Addresses
Primary practice location
7253 Purdue Ave
La Mesa, CA 91942-5919
Mailing address
16255 Ventura Blvd Ste 900
Encino, CA 91436-2317
Phone (801) 823-0189
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aces 2020, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1639602691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16255 VENTURA BLVD STE 900",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362317",
"telephone_number": "801-823-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7253 PURDUE AVE",
"city": "LA MESA",
"state": "CA",
"postal_code": "919425919",
"telephone_number": "619-844-7736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES CALDERON",
"first_name": "ANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-06",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-20-46457",
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "CA",
"license": "0-17-7616",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.