Antonio Fuentes Moran (NPI# 1114078607, PAC ID# 5193614030) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1114078607 |
| PAC ID by PECOS | 5193614030 |
| Professional Enrollment ID | I20040310001521 |
| Full Name | Antonio Fuentes Moran |
| Organization Legal Name | JOE A. VARGAS, O.D., PROFESSIONAL CORPORATION |
| Address |
789 S Dora St Ukiah CA 95482-5335 |
| Phone Number | 7074628363 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY |
| Graduation Year | 1999 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2567650039 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 789 S Dora St, Ukiah, CA 95482-5335 | 7074628363 | JOE A. VARGAS, O.D., PROFESSIONAL CORPORATION |
| Organization Legal Name | JOE A. VARGAS, O.D., PROFESSIONAL CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joe Anthony Vargas | Optometry | Joe A. Vargas, O.d., Professional Corporation | 789 S Dora St, Ukiah, CA 95482-5335 |
| Street Address |
789 S DORA ST |
| City | UKIAH |
| State | CA |
| Zip | 95482-5335 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joe Anthony Vargas | Optometry | Joe A. Vargas, O.d., Professional Corporation | 789 S Dora St, Ukiah, CA 95482-5335 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Andrew Coren | Family Medicine | Adventist Health Physicians Network | 1050 N State St, Ukiah, CA 95482-3414 |
| Janis Woesner | Nurse Practitioner | Adventist Health Physicians Network | 1050 N State St, Ukiah, CA 95482-3414 |
| Vincent P Valente | Obstetrics/gynecology | Ukiah Valley Primary Care Medical Group, Inc | 1050 N State St, Ukiah, CA 95482-3414 |
| Christine J Miller | Chiropractic | 101 W Church St, Suite 3, Ukiah, CA 95482-3615 | |
| Brenda Flynn Clark | Clinical Social Worker | 601 N State St, Brenda Flynn Clark Psychotherapy, Ukiah, CA 95482-4026 | |
| Laura M Mares | Clinical Social Worker | 359 N Oak St, Ukiah, CA 95482-4302 | |
| Marilyn K Gilbreath | Optometry | Gilbreath and Park Optometry Inc. | 102 Scott St, Ukiah, CA 95482-4316 |
| Sara C Stark | Clinical Psychologist | 406 W Standley St, Ukiah, CA 95482-4348 | |
| Lee Howard Vagt | Chiropractic | 461 N State St, Ukiah, CA 95482-4421 | |
| Georgina L Calderon | Emergency Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Find all physicians in zip 95482 | |||
| City | UKIAH |
| Zip Code | 95482 |
| Specialty | OPTOMETRY |
| City + Specialty | UKIAH + OPTOMETRY |
Please comment or provide details below to improve the information on Antonio Fuentes Moran.
| 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.