Fuentes Family Counseling, Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY19230 Issued in CA

Legal business name

FUENTES FAMILY COUNSELING, INC.

Practice address

24230 Barton Rd
Loma Linda, CA 92354-3232

Phone

(909) 796-9300

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jose Fuentes, PH.D

Title

President

Phone

(909) 248-4332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1659559136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10545",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230545",
            "telephone_number": "909-248-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24230 BARTON RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543232",
            "telephone_number": "909-796-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUENTES FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-248-4332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY19230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Denee Fritzsche
• Geir Paul Frivold, M.D.
• Janil Shantil Frost-Davis
• Jason John Fry, CRNA, DNP
• Armen Karo Fstkchian, PHARMD
• Jose L Fuentes, PH.D
• Scott Thomas Fujimoto, D.O.
• Ashley Fukuchi, PHARMD
• Corey Brandon Fuller, MD
• Jennifer Carroll Fuller

• Clinical Neuropsychologist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.