Lilia Fuentes, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

59318 Issued in CA

Practice address

6254 Encinita Ave
Temple City, CA 91780-1639

Phone

(626) 614-8384

NPI assigned

Jul 29, 2010

Last updated

Nov 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1669786869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 SOUTH ATLANTIC AVE.",
            "city": "BELL",
            "state": "CA",
            "postal_code": "90201",
            "telephone_number": "323-562-9222",
            "fax_number": "323-562-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6254 ENCINITA AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801639",
            "telephone_number": "626-614-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "LILIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Scott Fong, DMD, MS
• Terrence Lee Fong, D.D.S.
• Fran-Jom, Inc (Temple City Convalescent Hospital)
• Franck Juste MD
• Friendly Dental Care
• Gaby J. Abdo, D.O., a Medical Corp.
• Garrett S. Fong, D.M.D., Inc.
• GD Acupuncture Corp
• Rhonda E Gee, LCSW
• Gemzstar, LLC (Right Place for Seniors)

• Dentist in Temple City, CA
• Providers in Temple City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.