Maritess Garcia Fuentes, M.D.
Individual provider Active NPI Family Medicine Physician · Firebaugh, CA
NPI 1932307485 · NPPES record last updated Apr 25, 2023
Key facts
- NPI
- 1932307485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A111637 (CA)
- Practice address
- 689 N St
Firebaugh, CA 93622-2156 - Phone
- (559) 659-3037
- Fax
- (559) 659-3464
- NPI assigned
- Jul 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201012000517 | CA | Order and Referring Only - Family Practice |
6901930890 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanford Community Hospital | Past | Accepting new patients | |
| Valley Health Team, Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- maritess.fuentes.p4@direct.vht.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A111637 | CA | Yes |
Addresses
Primary practice location
689 N St
Firebaugh, CA 93622-2156
Mailing address
21890 W. Colorado Ave
San Joaquin, CA 93660
Phone (559) 693-2398
Other providers in Firebaugh, CA
- Family Health Centers Inc
- Firebaugh and Mendota Health Clinics, Inc.
- Firebaugh-Las Deltas Unified School District
- Fresno County Firebaugh Mental Health Clinic
- Lisa Sonia Frutos
- Javier Ciprian Garcia
- Veronika Marie Criado Godoy
- Francesca Ann Grousis
- Shawn Hrymack
- Jaspreet Singh Nanra MD Inc
All providers in Firebaugh, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.