Yanet Puentes

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

374604337 Issued in CA

Practice address

6893 Radcliffe Dr
San Diego, CA 92122-2449

Phone

(702) 303-2317

NPI assigned

Apr 19, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sunset Residential Care

  • Assisted Living Facility
  • San Diego, CA
  • NPI 1881380285
  NPD

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1952044661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6893 RADCLIFFE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6893 RADCLIFFE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222449",
            "telephone_number": "702-303-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTES",
        "first_name": "YANET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "374604337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "873463989",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander F. Pue, M.D.
• Stefanie Marie Puello-Moore
• Puente de Vida, Inc
• Joe Anthony Puente
• Carlos Puentes
• Angelina Puffelis
• Lisa M Pufky I, RN
• Alexandra Puga
• Francisco Javier Puga Jr.
• George Puga Jr.

• Community Health Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; 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.