DR. JULIAN ROBERT FUENTES (NPI# 1942269972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942269972 |
| Entity Type | Individual |
| Full Name | DR. JULIAN ROBERT FUENTES |
| Other Name | MR. JULIAN ROBERTO FUENTES III |
| Credential | M.D. |
| Practice Address |
3330 Churn Creek Rd Ste D4 Redding CA 96002-2532 |
| Mailing Address |
Po Box 991868 Redding CA 96099-1868 |
| Practice Telephone | 5302474211 |
| Practice Fax Number | 5302474241 |
| Mailing Telephone | 5303390025 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2018-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G45631 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3330 CHURN CREEK RD STE D4 |
| City | REDDING |
| State | CA |
| Zip Code | 96002-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013435130 | Raechel Lynne Callejo | Counselor | 3330 Churn Creek Rd Ste D4, Redding, CA 96002-2532 | 2017-09-08 |
| 1265452809 | Kin D Bates Sr. | Physician Assistant | 3330 Churn Creek Rd Ste D4, Redding, CA 96002-2532 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1740653864 | Votc, Inc. | Substance Abuse Rehabilitation Facility | 3590 El Portal Dr., # 7, 8, 9, 10, 15, 16, & 17, Redding, CA 96002 | 2015-11-11 |
| 1801226253 | Katie Marie Mccullough-stubbs | Marriage & Family Therapist | 3300 Church Creek, Redding, CA 96002 | 2013-11-21 |
| 1801234026 | Kathy Lynne Hawk | Community Health Worker | 2051 Hilltop Dr A-13, Redding, CA 96002 | 2013-06-10 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1336442664 | Small Talk Pediatric Services, Inc. | Speech-Language Pathologist | 2526 Goodwater Ave., Suite A, Redding, CA 96002 | 2010-12-08 |
| Find all providers in zip 96002 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013253921 | William Jude Mccabe | Family Medicine | 13490 Tierra Heights Rd, Redding, CA 96003-7481 | 2012-12-20 |
| 1366709883 | Joe Carroll O'banion | Family Medicine | 910 Hallmark Dr, Redding, CA 96001-0149 | 2012-04-20 |
| 1235409723 | Cristine Osborne | Family Medicine | 2941 Montana Sky Dr, Redding, CA 96002-5155 | 2011-12-30 |
| 1235429572 | Jesse Graham Livingston | Family Medicine | 3611 Steamboat St, Redding, CA 96003-5317 | 2011-04-07 |
| 1285868323 | Julie Jeyaratnam | Family Medicine | 2510 Airpark Dr Ste 201, Redding, CA 96001-2461 | 2009-05-04 |
| 1174785489 | Maria De Lourdes Nicora Bia | Family Medicine | 100 East Cypress, Redding, CA 96002-0000 | 2008-06-27 |
| 1881716256 | Morris Robert Ballard | Family Medicine | 1115 Whiskeytown Ct # B, Redding, CA 96001-0227 | 2007-04-04 |
| 1477673770 | John Elazegui Nepomuceno | Family Medicine | 1520 Collyer Dr, Redding, CA 96003-9535 | 2007-03-30 |
| 1801912332 | The Family Practice Center | Family Medicine | 3310 Churn Creek Rd Ste B, Redding, CA 96002-2513 | 2007-03-22 |
| 1013061647 | Randall James Lankford | Family Medicine | 5814 Old Barn Way, Redding, CA 96001-4654 | 2007-01-22 |
| Find all providers in REDDING | ||||
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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.