Yordanis Rafael Fonseca Vega

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1016853 Issued in TX

Practice address

12521 Nacogdoches Rd Ste 101
San Antonio, TX 78217-2117

Phone

(210) 634-7814

NPI assigned

Oct 14, 2020

Last updated

Aug 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 TX, CA2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Circle Medical Care of CaliforniaGroup PAC ID 3870894579, 71 clinicians

Medical Office ForceGroup PAC ID 9335481951, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Nacogdoches Family Clinic LLC

  dba Clinica Familiar Nacogdoches

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1942803341
  Medicare reassignment NPD Authorized official
• Circle Medical Care of California

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1134596091
  Medicare reassignment Care Compare group NPD
• Medical Office Force

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1508378613

  TX

  Medicare reassignment Care Compare group NPD
• Circle Medical Care Group PA

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1972358760

  TX

  Medicare reassignment NPD
• Modern MD PLLC

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1104412931
  NPD (past)
• Circle Medical Care Group PA

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1366297699
  NPD (past)

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1801494554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12521 NACOGDOCHES RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782172117",
            "telephone_number": "210-634-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12521 NACOGDOCHES RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782172117",
            "telephone_number": "210-634-7814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Coit Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750716656",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9335 Gulf Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770177060",
            "country_code": "US",
            "telephone_number": "832-930-6725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Cowboy Way",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "NM",
            "postal_code": "870159616",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052661",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5373 W Alabama St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770565923",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N Crescent Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902106813",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONSECA VEGA",
        "first_name": "YORDANIS",
        "middle_name": "RAFAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1016853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Foltz, RRT
• Fom Industries, LLC (FOM Industries)
• Ephraim Tata Fombo, PMHNP-BC
• Ivan Fomitchev, M.D.
• Gloria D. Fondren, M.A., LPC, LSOTP
• Carol Ann Fonseca, PH.D., LP
• Genevieve Ann Fonseca, DNP, APRN, FNP-C
• Krystal Fonseca, RN
• Michelle Sheree Fonseca, PA-C
• Nicole Fonseca

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.