NPIMap

Individual provider Active NPI

Nanette Chua Fonte, M.D.

  • Nephrology Physician
  • Lancaster, CA
National Provider Identifier
1962732974
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A111173 Issued in CA
Practice address
1759 W Avenue J
Suite 101
Lancaster, CA 93534-2703
Phone
(661) 948-1388
Fax
(661) 948-1223
NPI assigned
Jan 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X A111173 CA Primary

Addresses

Primary practice location

1759 W Avenue J
Suite 101
Lancaster, CA 93534-2703

Mailing address

PO Box 2768
Lancaster, CA 93539-2768
Phone (661) 948-1388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000257 CA Practitioner - Internal MedicinePractitioner - Nephrology 9032235478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Antelope Valley Nephrology Medical Group IncGroup PAC ID 5395786206, 4 clinicians

Practice addresses (Care Compare)

1759 W Ave J
Suite 101
Lancaster, CA 93534-2703
Phone (661) 948-1388

Hospital & facility affiliations

  • DaVita Antelope Valley Dialysis Dialysis facility, Lancaster, CA, CCN 052521
  • SRS-Ridgecrest Dialysis Dialysis facility, Ridgecrest, CA, CCN 052789
  • DaVita Palms Valley Dialysis Dialysis facility, Palmdale, CA, CCN 552845
  • Davita Antelope Valley Home Training Dialysis facility, Lancaster, CA, CCN 752619
  • DaVita Palmdale Regional Dialysis Dialysis facility, Palmdale, CA, CCN 052869
  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333
  • Palmdale Regional Medical Ctr Inpatient rehabilitation facility, Palmdale, CA, CCN 05T204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A111173CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Antelope Valley Nephrology Medical Group, Inc. Multi-Specialty CurrentSince Sep 1, 2016 Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Antelope Valley Health Care District Past Accepting new patients

Locations

1759 W Avenue J
#101
Lancaster, CA 93534
Phone (661) 948-1388

212 S Richmond Rd
Ridgecrest, CA 93555
Phone (559) 432-5278

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nanette.fonte@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1962732974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2768",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935392768",
            "telephone_number": "661-948-1388",
            "fax_number": "661-948-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 W AVENUE J",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342703",
            "telephone_number": "661-948-1388",
            "fax_number": "661-948-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTE",
        "first_name": "NANETTE",
        "middle_name": "CHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A111173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.