Individual provider Active NPI

Tania Elizabeth Madrigal Sandoval

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1366346538
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95041809 Issued in CA
Practice address
650 W Alluvial Ave
Fresno, CA 93711-5507
Phone
(559) 438-1777
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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 95041809 CA Primary

Addresses

Primary practice location

650 W Alluvial Ave
Fresno, CA 93711-5507

Mailing address

15891 W El Mar Ave
Kerman, CA 93630-1371
Phone (559) 396-6138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1366346538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15891 W EL MAR AVE",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301371",
            "telephone_number": "559-396-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W ALLUVIAL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115507",
            "telephone_number": "559-438-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIGAL SANDOVAL",
        "first_name": "TANIA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95041809",
            "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 Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.