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RALPH VINCENT AGUINALDO FONTEJON MSN APRN FNP-BC NPI 1477101624


NPI Information

NPI: 1477101624
Provider Name: RALPH VINCENT AGUINALDO FONTEJON, MSN APRN FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SERRA COMMUNITY MEDICAL CLINIC INC

PECOS Registration: Yes

Address:
11357 ETIWANDA AVE
PORTER RANCH, CA
ZIP 91326
Phone: (818) 835-7640
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Ralph Vincent Aguinaldo Fontejon, MSN APRN FNP-BC is a family nurse practitioner in Porter Ranch, CA with 5 years of experience. Ralph Vincent Aguinaldo Fontejon, MSN APRN FNP-BC NPI is 1477101624. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11357 ETIWANDA AVE
PORTER RANCH, CA
ZIP 91326-011
Phone: (818) 835-7640

The NPI 1477101624 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2019 and was last updated on 8/30/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily95012620CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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