Individual provider Active NPI

Gerardo Leopoldo Madrigal, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1336420264
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
98651 Issued in CA
Practice address
2045 E Ashlan Ave Ste 104
Fresno, CA 93726-2000
Phone
(559) 367-9734
NPI assigned
Sep 6, 2011
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 98651 CA Primary

Addresses

Primary practice location

2045 E Ashlan Ave Ste 104
Fresno, CA 93726-2000

Mailing address

5528 N Palm Ave Ste 122
Fresno, CA 93704-1947
Phone (559) 367-9734

Other practice location 1

5528 N Palm Ave Ste 122
Fresno, CA 93704-1947
Phone (559) 367-9734

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
98651CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gerardo Madrigal CurrentSince Aug 1, 2023 Accepting new patients

Locations

2045 E Ashlan Ave
Ste 104
Fresno, CA 93726
Phone (559) 367-9734

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": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1336420264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 N PALM AVE STE 122",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041947",
            "telephone_number": "559-367-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 E ASHLAN AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937262000",
            "telephone_number": "559-367-9734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5528 N Palm Ave Ste 122",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937041947",
            "country_code": "US",
            "telephone_number": "559-367-9734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADRIGAL",
        "first_name": "GERARDO",
        "middle_name": "LEOPOLDO",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-06",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98651",
            "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 Jun 15, 2021; 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.