Individual provider Active NPI

Marieli Negrete

  • Case Manager/Care Coordinator
  • Selma, CA
National Provider Identifier
1013579994
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
1013579994 Issued in CA
Practice address
2020 High St Ste E
Selma, CA 93662-3518
Phone
(559) 443-4800
NPI assigned
Jul 1, 2019
Last updated
May 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU
Case Manager/Care Coordinator 171M00000X 1013579994 CA Primary

Addresses

Primary practice location

2020 High St Ste E
Selma, CA 93662-3518

Mailing address

2440 Tulare St Ste 200
Fresno, CA 93721-2281
Phone (559) 443-4800

Other practice location 1

2440 Tulare St Ste 200
Fresno, CA 93721-2281
Phone (559) 443-4800

Other practice location 2

121 Belmont Ave
Mendota, CA 93640-8232
Phone (559) 443-4800

Other practice location 3

2280 N Valentine Ave
Fresno, CA 93722-5553
Phone (559) 443-4800

Other practice location 4

2560 W Shaw Ln Ste 104
Fresno, CA 93711-2777
Phone (559) 443-4800

Other practice location 5

4939 E Yale Ave
Fresno, CA 93727-1523
Phone (559) 443-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1013579994CAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno County Superintendent of Schools CurrentSince Aug 30, 2020 Accepting new patients
Fresno County Superintendent of Schools PastSince Aug 30, 2020 Accepting new patients
Fresno County Superintendent of Schools PastSince Jan 31, 2021 Accepting new patients

Locations

2440 Tulare St
Ste 200
Fresno, CA 93721
Phone (559) 265-3089

2020 High St
Ste E
Selma, CA 93662
Phone (559) 443-8000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1013579994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 TULARE ST STE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937212281",
            "telephone_number": "559-443-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HIGH ST STE E",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623518",
            "telephone_number": "559-443-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 Tulare St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937212281",
            "country_code": "US",
            "telephone_number": "559-443-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Mendota",
            "state": "CA",
            "postal_code": "936408232",
            "country_code": "US",
            "telephone_number": "559-443-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2280 N Valentine Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937225553",
            "country_code": "US",
            "telephone_number": "559-443-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2560 W Shaw Ln Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112777",
            "country_code": "US",
            "telephone_number": "559-443-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4939 E Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937271523",
            "country_code": "US",
            "telephone_number": "559-443-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEGRETE",
        "first_name": "MARIELI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "1013579994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.