Individual provider Active NPI

Gerardo Muniz, PA

  • Physician Assistant
  • Lindsay, CA
National Provider Identifier
1073615944
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18139 Issued in CA
Practice address
755 Sequoia Ave Ste B
Lindsay, CA 93247-1422
Phone
(559) 562-9399
Fax
(559) 562-4248
NPI assigned
Sep 2, 2006
Last updated
Mar 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18139 CA Primary

Addresses

Primary practice location

755 Sequoia Ave Ste B
Lindsay, CA 93247-1422

Mailing address

755 Sequoia Ave Ste B
Lindsay, CA 93247-1422
Phone (559) 562-9399

Other identifiers 1

IdentifierTypeStateIssuer
PA18139OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051208000260 CA Practitioner - Physician Assistant 2668493461 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18139CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network CurrentSince Jan 20, 2015 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Jan 20, 2015 Accepting new patients
Family Healthcare Network Past Accepting new patients

Locations

730 N Farmersville Blvd
Farmersville, CA 93223
Phone (559) 747-1470

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

400 E Oak Ave
Visalia, CA 93291
Phone (559) 741-4500

Interoperability endpoints

  • Direct secure messaging: gerardo.muniz@fhcn.eclinicaldirectplus.com

Organizations & group practices 5

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1073615944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 SEQUOIA AVE STE B",
            "city": "LINDSAY",
            "state": "CA",
            "postal_code": "932471422",
            "telephone_number": "559-562-9399",
            "fax_number": "559-562-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 SEQUOIA AVE STE B",
            "city": "LINDSAY",
            "state": "CA",
            "postal_code": "932471422",
            "telephone_number": "559-562-9399",
            "fax_number": "559-562-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ",
        "first_name": "GERARDO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA18139",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindsay, CA

Sources for this page

Verify at the official NPI Registry.