Active NPI
Adriana Fuentes, RN, BSN, PHN
- Community Health Registered Nurse
- Westminster, CA
National Provider Identifier
1801073440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 68774
- Practice address
- 14180 Beach Blvd
Westminster, CA 92683-4452 - Phone
- (714) 896-7800
- Fax
- (714) 896-7808
- NPI assigned
- Jan 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 68774 | CA | |
| Community Health Registered Nurse | 163WC1500X | 68774 | CA | Primary |
Addresses
Primary practice location
14180 Beach Blvd
Westminster, CA 92683-4452
Mailing address
15317 Georgia Ave.
Paramount, CA 90723
Phone (562) 630-4584
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68774 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange County Health Care Agency | 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 and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Westminster, CA
- NPI 1487835740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1801073440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15317 GEORGIA AVE.",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "90723",
"telephone_number": "562-630-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14180 BEACH BLVD",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834452",
"telephone_number": "714-896-7800",
"fax_number": "714-896-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "ADRIANA",
"credential": "RN, BSN, PHN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "68774",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "68774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.