Individual provider Active NPI

Ivan Alejandro Munoz-Almaraz, FNP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1457834137
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009839 Issued in CA
Practice address
2505 E Divisadero St
Fresno, CA 93721-1401
Phone
(559) 457-5500
NPI assigned
Sep 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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 95009839 CA Primary

Addresses

Primary practice location

2505 E Divisadero St
Fresno, CA 93721-1401

Mailing address

2505 E Divisadero St
Fresno, CA 93721-1401
Phone (559) 457-5500

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
I20181205003176 CA Practitioner - Nurse Practitioner 3173867991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

2505 E Divisadero St
Fresno, CA 93721-1401
Phone (559) 457-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Oct 29, 2018 Accepting new patients
Clinica Sierra Vista CurrentSince Oct 29, 2018 Accepting new patients

Locations

1945 N Fine Ave
Ste 100
Fresno, CA 93727
Phone (559) 457-5650

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

2505 E Divisadero St
Fresno, CA 93721
Phone (559) 457-5500

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1457834137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211401",
            "telephone_number": "559-457-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211401",
            "telephone_number": "559-457-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ-ALMARAZ",
        "first_name": "IVAN",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.