Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ralph Vincent Aguinaldo Fontejon, MSNAPRNFNP-BC

Individual provider Family Nurse Practitioner · NPI 1477101624

Ralph Vincent Aguinaldo Fontejon, MSNAPRNFNP-BC is a Nurse Practitioner in Porter Ranch, California. Qualified in 2019, 7 years ago. Practices with Serra Community Medical Clinic Inc, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

11357 Etiwanda Ave
Porter Ranch, CA 91326-2011
Phone: (818) 835-7640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95012620 (CA)

Record details

NPI number1477101624
Entity typeIndividual (Type 1)
GenderMale
Credentials MSNAPRNFNP-BC
Sole proprietorYes
NPI enumeratedAugust 30, 2019
Last updated in NPPESAugust 30, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Serra Community Medical Clinic Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Porter Ranch