Active NPI
Julian R Fuentes MD Inc
- Family Medicine Physician
- Redding, CA
National Provider Identifier
1720370380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A50122
- Legal business name
- JULIAN R FUENTES MD INC
- Practice address
- 3330 Churn Creek Rd
Ste D4
Redding, CA 96002-2532 - Phone
- (530) 222-3287
- Fax
- (530) 222-8547
- NPI assigned
- May 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julian Fuentes, MD
- Title
- President
- Phone
- (530) 222-3287
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A50122 | CA | Primary |
Addresses
Primary practice location
3330 Churn Creek Rd
Ste D4
Redding, CA 96002-2532
Mailing address
PO Box 991868
Redding, CA 96099-1868
Phone (530) 339-0025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C3373967 | Other | CA | COPORATE NUMBER |
National Provider Directory
National Provider DirectoryLocations
3330 Churn Creek Rd
Ste B3
Redding, CA 96002
Phone (530) 222-1492
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522195200000",
"number": "1720370380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 991868",
"city": "REDDING",
"state": "CA",
"postal_code": "960991868",
"telephone_number": "530-339-0025",
"fax_number": "530-722-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 CHURN CREEK RD",
"address_2": "STE D4",
"city": "REDDING",
"state": "CA",
"postal_code": "960022532",
"telephone_number": "530-222-3287",
"fax_number": "530-222-8547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIAN R FUENTES MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-13",
"last_updated": "2018-03-28",
"status": "A",
"authorized_official_last_name": "FUENTES",
"authorized_official_first_name": "JULIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-222-3287",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A50122",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COPORATE NUMBER",
"identifier": "C3373967",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.