Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edward Raymond Fuentes Jr.

Individual provider Marriage & Family Therapist · NPI 1063842631

Edward Raymond Fuentes Jr. is a Marriage and Family Therapist in Westminster, California. Qualified in 2012, 14 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2013
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Practice location Address checks out

14140 Beach Blvd Ste 223
Westminster, CA 92683-4453
Phone: (714) 896-7566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 105637 (CA)

Record details

NPI number1063842631
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 19, 2013
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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