Active NPI
Gerardo Leopoldo Madrigal, LMFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1336420264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 98651
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 98651 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerardo Madrigal | Current | 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.