Active NPI
Maria J Rodriguez, CARE MANAGER
- Community Health Worker
- Fresno, CA
National Provider Identifier
1639346646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 4545 N West Ave
Fresno, CA 93705-0946 - Phone
- (559) 229-3561
- Fax
- (559) 229-3581
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CA | Primary | |
| Social Worker | 104100000X |
Addresses
Primary practice location
4545 N West Ave
Fresno, CA 93705-0946
Mailing address
4545 N West Ave
Fresno, CA 93705-0946
Phone (559) 229-3561
Other practice location 1
3795 E Shields Ave
Fresno, CA 93726-7029
Phone (559) 229-3561 ext. 42
Other names 1
- Mrs. Maria J Melgoza
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Youth Services of Fresno, Inc. (Functional Family Therap | Past | Accepting new patients | |
| Comprehensive Youth Services of Fresno, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1730213323
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1437328044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1639346646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 N WEST AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937050946",
"telephone_number": "559-229-3561",
"fax_number": "559-229-3581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 N WEST AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937050946",
"telephone_number": "559-229-3561",
"fax_number": "559-229-3581"
}
],
"practiceLocations": [
{
"address_1": "3795 E Shields Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937267029",
"country_code": "US",
"telephone_number": "559-229-3561 x42",
"fax_number": "559-229-3581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARIA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "CARE MANAGER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "MELGOZA",
"middle_name": "J",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}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 Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.