Micaela Isabel Fuentez, is a
Community Health Worker based in Stockton, California. Micaela Isabel Fuentez is licensed to practice in * (Not Available) (license number ) and her current practice location is
1212 N California St, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(209) 468-8700.
NPI number for Micaela Isabel Fuentez is 1083228423 and her current mailing address is 1940 Basil Dr, Manteca, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083228423.
Healthcare Provider's Profile
| Full Name | Micaela Isabel Fuentez |
|---|
| Gender | Female |
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| Speciality | Community Health Worker |
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| Location | 1212 N California St, Stockton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083228423
- Provider Enumeration Date: 09/02/2020
- Last Update Date: 01/27/2025
Medical Identifiers
Medical identifiers for Micaela Isabel Fuentez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083228423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | Y2411397 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Micaela Isabel Fuentez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Micaela Isabel Fuentez,
1940 Basil Dr,
Manteca, CA 95336-8538
Ph: (408) 916-6179 | Micaela Isabel Fuentez,
1212 N California St,
Stockton, CA 95202-1552
Ph: (209) 468-8700 |
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