Albert Thomas Puentes

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1708 Banyan CT
Ceres, CA 95307-1907

Phone

(209) 531-2088

NPI assigned

Nov 21, 2022

Last updated

Apr 16, 2025By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Elite Family Systems

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Ceres, CA
  • NPI 1346820818
  NPD
• Elite Family Systems

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Ceres, CA
  • NPI 1679153142
  NPD
• Elite Family Systems

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Ceres, CA
  • NPI 1467032938
  NPD (past)
• Elite Family Systems - Blaker Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Ceres, CA
  • NPI 1891375366
  NPD (past)

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1861101529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 4TH ST",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073222",
            "telephone_number": "209-531-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 BANYAN CT",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953071907",
            "telephone_number": "209-531-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTES",
        "first_name": "ALBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prakash Sojitra DDS Inc.
• Venita Ashika Prasad, BHS
• Premier Medical Supply Inc
• Amber Price
• Matthew Steven Prier
• Jaime Puga
• Luz Pulido
• Desiree Quigao
• Jose Quigao
• Curtis Gene Rager

• Rehabilitation Practitioner in Ceres, CA
• Providers in Ceres, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.