Individual provider Active NPI

Mari-Jo Garcia, FNP-C

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1245647544
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000902 Issued in CA
Practice address
3440 W Shaw Ave
Suite a
Fresno, CA 93711-3216
Phone
(559) 277-2273
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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 95000902 CA Primary

Addresses

Primary practice location

3440 W Shaw Ave
Suite a
Fresno, CA 93711-3216

Mailing address

7052 E Ramona Way
Fresno, CA 93737-9211
Phone (559) 824-6291

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
I20150204001689 CA Order and Referring Only - Nurse Practitioner 2860717394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95000902CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shaw Walk-in Medical Center/Urgent Care,Inc. PastSince Jun 28, 2006 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1245647544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7052 E RAMONA WAY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937379211",
            "telephone_number": "559-824-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 W SHAW AVE",
            "address_2": "SUITE A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113216",
            "telephone_number": "559-277-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARI-JO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.