SERGIO A. FUENZALIDA MD INC. (NPI# 1730493198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730493198 |
| Entity Type | Organization |
| Organization Name | SERGIO A. FUENZALIDA MD INC. |
| Practice Address |
850 S Atlantic Blvd Suite 103 Monterey Park CA 91754-6703 |
| Mailing Address |
850 S Atlantic Blvd Suite 103 Monterey Park CA 91754-4730 |
| Practice Telephone | 6265767481 |
| Mailing Telephone | 6265767481 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-08-03 |
| Authorized Official Name | SERGIO A FUENZALIDA (OWNER) |
| Authorized Official Telephone | 6265767481 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
A25157 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A251570 | 05 |
| Street Address |
850 S ATLANTIC BLVD SUITE 103 |
| City | MONTEREY PARK |
| State | CA |
| Zip Code | 91754-6703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225039092 | Calvin Eng | Ophthalmology | 850 S Atlantic Blvd, Suite 301, Monterey Park, CA 91754-4730 | 2005-08-03 |
| 1144786831 | Virginias Total Care Medical Group Inc | General Practice | 850 S Atlantic Blvd, Ste 300, Monterey Park, CA 91754-4729 | 2019-02-18 |
| 1083083653 | Allison Stavaridis Crna Inc | Anesthesiology | 850 S Atlantic Blvd, Ste 201, Monterey Park, CA 91754-4730 | 2015-09-24 |
| 1427435395 | Nazarica Ricafrente | Nurse Practitioner | 850 S Atlantic Blvd, Suite 101, Monterey Park, CA 91754-4730 | 2015-04-29 |
| 1235524836 | Yanira Perez Md Inc | Surgery | 850 S Atlantic Blvd, Ste 305, Monterey Park, CA 91754-6714 | 2015-03-31 |
| 1528459385 | Gastroenterology Medical of Los Angeles Inc | Internal Medicine | 850 S Atlantic Blvd, Suite 101, Monterey Park, CA 91754-6700 | 2015-02-13 |
| 1326380643 | Jaquelyn Lorenzo Macaraeg | Nurse Practitioner | 850 S Atlantic Blvd, Suite 305, Monterey Park, CA 91754-4730 | 2013-03-25 |
| 1629358916 | Doctor's Lab, LLC | Clinical Medical Laboratory | 850 S Atlantic Blvd, Suite 305, Monterey Park, CA 91754-4730 | 2011-08-18 |
| 1841503570 | Donald J Portocarrero | Internal Medicine | 850 S Atlantic Blvd, Suit 101, Monterey Park, CA 91754-4730 | 2010-07-22 |
| 1205064722 | David Barba | Orthopaedic Surgery | 850 S Atlantic Blvd, Suite #201, Monterey Park, CA 91754-4730 | 2009-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023670734 | New Hope Medical Center | Acupuncturist | 939 S Atlantic Blvd, Suit 107, Monterey Park, CA 91754 | 2019-07-02 |
| 1326574302 | Jo Ann Dorothy I | Chiropractor | 257 W. Pomona Blvd, Monterey Park, CA 91754 | 2017-05-11 |
| 1134575517 | Julie Riesz Desmond | Pediatrics | 2000 Longhill Dr., Monterey Park, CA 91754 | 2016-05-04 |
| 1023480902 | Exporter Associates | Durable Medical Equipment & Medical Supplies | 855 W El Repetto Dr Unit 11c, Monterey Park, CA 91754 | 2015-10-30 |
| 1366889784 | Jane Chi Fan, Mft. Inc | Marriage & Family Therapist | 941 S. Atlantic Blvd., Suite 221, Monterey Park, CA 91754 | 2013-05-24 |
| 1740597574 | Stephen Wesley Pope | Contractor | 3800 Concours, Suite 350, Ontario, CA 91754 | 2010-08-31 |
| 1447573324 | Sok-yin Leung | Pediatrics | 748 Rodman Circle, Monterey Park, CA 91754 | 2010-03-08 |
| 1568601151 | Jenny Pei Liu, D.d.s., Inc. | Dentist | 2071 S. Altantic Blvd., #f&g, Monterey Park, CA 91754 | 2009-02-05 |
| 1609027770 | Cali Ho | Occupational Therapist | 600 N. Garfield Ave., Monterey Park, CA 91754 | 2008-10-07 |
| 1588812358 | Eric A Garcia | Dentist | 1900 So Atlantic Blvd, Suite 1, Monterey Park, CA 91754 | 2008-09-04 |
| Find all providers in zip 91754 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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| 1609431014 | Vaya Addiction Services | Psychiatry & Neurology | 945 University Ave Ste 101, Sacramento, CA 95825-6712 | 2019-05-01 |
| 1174081327 | Bacchus, Moghaddam, Musngi, Shwayder Medical Corp. | Psychiatry & Neurology | 6801 Park Ter # 530b, Los Angeles, CA 90045-1543 | 2019-03-06 |
| 1104330570 | Integrated Psychiatry, Inc. | Psychiatry & Neurology | 25000 Avenue Stanford Ste 173, Valencia, CA 91355-4596 | 2017-11-21 |
| 1740689694 | Mind & Body Treatment and Research Institute, PC | Psychiatry & Neurology | 5700 Division St, 200, Riverside, CA 92506-3257 | 2014-08-16 |
| 1619311206 | Margaret Barnett Yates | Psychiatry & Neurology | 13847 W Sunset Blvd, Pacific Palisades, CA 90272-4023 | 2013-04-25 |
| 1750645743 | Stefani Lafrenierre | Psychiatry & Neurology | 215 S Hickory St Ste 114, Escondido, CA 92025-4360 | 2012-06-25 |
| 1083977201 | Archangel De Leon | Psychiatry & Neurology | 7466 Sun Castle Ln, Sacramento, CA 95823-6734 | 2012-06-21 |
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| City | MONTEREY PARK |
| Zip Code | 91754 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.