Individual provider Active NPI

Fanny Yesmin Garcia-Flores, OD

  • Optometrist
  • Madera, CA
National Provider Identifier
1386117000
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34173TLG Issued in CA
Practice address
3076 Glenville Ave
Madera, CA 93637-8626
Phone
(559) 706-8052
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34173TLG CA Primary

Addresses

Primary practice location

3076 Glenville Ave
Madera, CA 93637-8626

Mailing address

3076 Glenville Ave
Madera, CA 93637-8626
Phone (559) 706-8052

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190604001123 CA Practitioner - Optometry 9638402894 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34173TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health Current Accepting new patients
Camarena Health CurrentSince Apr 19, 2019 Accepting new patients
Camarena Health CurrentSince Apr 19, 2019 Accepting new patients
Palwinder Kaur Optometrist PastSince Mar 31, 2024 Accepting new patients

Locations

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

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

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": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1386117000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3076 GLENVILLE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936378626",
            "telephone_number": "559-706-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 GLENVILLE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936378626",
            "telephone_number": "559-706-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-FLORES",
        "first_name": "FANNY",
        "middle_name": "YESMIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34173TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.