Individual provider Active NPI

Alicia Hernandez Punsalan

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1104307958
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009724 Issued in CA
Practice address
7202 N Millbrook Ave Ste 206
Fresno, CA 93720-3341
Phone
(559) 450-2300
Fax
(559) 450-2392
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95009724 CA Primary

Addresses

Primary practice location

7202 N Millbrook Ave Ste 206
Fresno, CA 93720-3341

Mailing address

344 E 6TH St
Madera, CA 93638-3631
Phone (559) 664-4000

Other practice location 1

6121 N Thesta St Ste 303
Fresno, CA 93710-5294
Phone (559) 450-2300

Other practice location 2

344 E 6th St
Madera, CA 93638-3631
Phone (559) 664-4000

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
I20190218000727 CA Practitioner - Nurse Practitioner 0648518613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians

Practice addresses (Care Compare)

1221 E Spruce Ave
Fresno, CA 93720-3374
Phone (559) 450-5777

7202 N Millbrook Ave
Fresno, CA 93720-3341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health CurrentSince Jun 11, 2019 Accepting new patients
LQMG Medical Group Inc. Current Accepting new patients
Camarena Health Family Current Accepting new patients
Saint Agnes Medical Foundation CurrentSince Apr 26, 2022 Accepting new patients
Camarena Health CurrentSince Jun 11, 2019 Accepting new patients

Locations

6121 N Thesta St
Ste 303
Fresno, CA 93710
Phone (559) 450-2300

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

7202 N Millbrook Ave
Ste 206
Fresno, CA 93720
Phone (559) 450-2300

124 S A St
Madera, CA 93638
Phone (559) 664-4042

344 E 6th St
Madera, CA 93638
Phone (559) 664-4158

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

Interoperability endpoints

  • Direct secure messaging: apunsalan2715460@direct.trinity-health.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1104307958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E 6TH ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383631",
            "telephone_number": "559-664-4000",
            "fax_number": "559-675-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7202 N MILLBROOK AVE STE 206",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203341",
            "telephone_number": "559-450-2300",
            "fax_number": "559-450-2392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6121 N Thesta St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105294",
            "country_code": "US",
            "telephone_number": "559-450-2300",
            "fax_number": "559-450-2392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "344 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936383631",
            "country_code": "US",
            "telephone_number": "559-664-4000",
            "fax_number": "559-675-5224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUNSALAN",
        "first_name": "ALICIA",
        "middle_name": "HERNANDEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.