Nelson M Fuentebella Jr (NPI# 1295075760, PAC ID# 8426334947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1295075760 |
| PAC ID by PECOS | 8426334947 |
| Professional Enrollment ID | I20170418002265 |
| Full Name | Nelson M Fuentebella Jr |
| Organization Legal Name | SPANISH HILLS INTERVENTIONAL PAIN SPECIALISTS INC A MEDICAL CORP |
| Address |
1100 Paseo Camarillo Camarillo CA 93010-6073 |
| Phone Number | 8054848558 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9830345651 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050616 | ST JOHNS PLEASANT VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 8054848558 | SPANISH HILLS INTERVENTIONAL PAIN SPECIALISTS INC A MEDICAL CORP |
| Organization Legal Name | SPANISH HILLS INTERVENTIONAL PAIN SPECIALISTS INC A MEDICAL CORP |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Davis | Physician Assistant | Spanish Hills Interventional Pain Specialists Inc A Medical Corp | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 |
| Ryan H Nakasone | Physician Assistant | Spanish Hills Interventional Pain Specialists Inc A Medical Corp | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 |
| Dale G Kiker | Anesthesiology | Spanish Hills Interventional Pain Specialists Inc A Medical Corp | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 |
| Patrick Dennis Buchanan | Pain Management | Spanish Hills Interventional Pain Specialists Inc A Medical Corp | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 |
| Jeannine Hayden Dannenbaum | Nurse Practitioner | Spanish Hills Interventional Pain Specialists Inc A Medical Corp | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 |
| Street Address |
1100 PASEO CAMARILLO |
| City | CAMARILLO |
| State | CA |
| Zip | 93010-6073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Davis | Physician Assistant | Spanish Hills Interventional Pain Specialists Inc A Medical Corp | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 |
| Ryan H Nakasone | Physician Assistant | Spanish Hills Interventional Pain Specialists Inc A Medical Corp | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 |
| Dale G Kiker | Anesthesiology | Spanish Hills Interventional Pain Specialists Inc A Medical Corp | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 |
| Antulio Benjamin Aroche Jr. | Orthopedic Surgery | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | |
| Marc D Wolfsohn | Anesthesiology | Marc Wolfsohn, M.d., Inc. | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 |
| Patrick Dennis Buchanan | Pain Management | Spanish Hills Interventional Pain Specialists Inc A Medical Corp | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 |
| Robert D Wood | Anesthesiology | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | |
| Jeannine Hayden Dannenbaum | Nurse Practitioner | Spanish Hills Interventional Pain Specialists Inc A Medical Corp | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon H Williams | Podiatry | 2486 Ponderosa Dr N, D100, Camarillo, CA 93010 | |
| Shahira Mcelhanon | Chiropractic | Long Chiropractic Professional Corporation | 1000 Paseo Camarillo, Suite 118, Camarillo, CA 93010-0722 |
| Steven D Jensen | Chiropractic | 1000 Paseo Camarillo, Suite 118, Camarillo, CA 93010-0722 | |
| Katherine L Hamilton | Psychologist, Clinical | 1000 Paseo Camarillo, Suite 114, Camarillo, CA 93010-0751 | |
| Lisa Hayden | Psychologist, Clinical | 1000 Paseo Camarillo, Suite 114, Camarillo, CA 93010-0751 | |
| Michael H Mcquillan | Optometry | 761 E Daily Dr, Suite 120, Camarillo, CA 93010-0777 | |
| William L Tellez | Anesthesiology | Oxnard Camarillo Anesthesiology Medical Group | Pleasant Valley Hosp, 2309 Antonio Ave, Camarillo, CA 93010-1401 |
| Robert J Martin | Anesthesiology | Oxnard Camarillo Anesthesiology Medical Group | 2309 Antonio Ave, Camarillo, CA 93010-1401 |
| Sharad N Sharma | Anesthesiology | Oxnard Camarillo Anesthesiology Medical Group | Pleasant Valley Hosp, 2309 Antonio Ave, Camarillo, CA 93010-1401 |
| Mark E Harlacher | Anesthesiology | Oxnard Camarillo Anesthesiology Medical Group | 2309 Antonio Ave, Camarillo, CA 93010-1401 |
| Find all physicians in zip 93010 | |||
| City | CAMARILLO |
| Zip Code | 93010 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CAMARILLO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nelson M Fuentebella Jr.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.