Individual provider Active NPI

Gloria Garza

  • Addiction (Substance Use Disorder) Counselor
  • Fresno, CA
National Provider Identifier
1043710270
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
C052670518 Issued in CA
Practice address
2445 W Whites Bridge Ave
Fresno, CA 93706-1225
Phone
(559) 264-5096
NPI assigned
Feb 14, 2018
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C052670518 CA Primary

Addresses

Primary practice location

2445 W Whites Bridge Ave
Fresno, CA 93706-1225

Mailing address

2445 W Whites Bridge Ave
Fresno, CA 93706-1225
Phone (559) 264-5096

Other practice location 1

4705 N Sonora Ave Ste 113
Fresno, CA 93722-3965
Phone (559) 276-7558

Other practice location 2

539 N Van Ness Ave
Fresno, CA 93728-3419
Phone (559) 266-9581

Other practice location 3

2121 Herndon Ave
Clovis, CA 93611-6302
Phone (559) 203-7333

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
C052670518CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Addiction Programs Inc PastSince Jan 15, 2023 Accepting new patients

Organizations & group practices 1

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": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1043710270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 W WHITES BRIDGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937061225",
            "telephone_number": "559-264-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 W WHITES BRIDGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937061225",
            "telephone_number": "559-264-5096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4705 N Sonora Ave Ste 113",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937223965",
            "country_code": "US",
            "telephone_number": "559-276-7558",
            "fax_number": "559-276-7568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "539 N Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937283419",
            "country_code": "US",
            "telephone_number": "559-266-9581",
            "fax_number": "559-498-0507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936116302",
            "country_code": "US",
            "telephone_number": "559-203-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "GLORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C052670518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.