Active NPI
Gerardo Muniz, PA
- Physician Assistant
- Lindsay, CA
National Provider Identifier
1073615944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18139
- 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, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA18139 | Other | CA | LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA18139 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Woodlake, CA
- NPI 1164517744
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
-
- Federally Qualified Health Center (FQHC)
- Terra Bella, CA
- NPI 1831520048
-
- Federally Qualified Health Center (FQHC)
- Strathmore, CA
- NPI 1972010684
-
- Federally Qualified Health Center (FQHC)
- Ivanhoe, CA
- NPI 1386670610
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.