Active NPI
Gerardo Puga, M.A., LMFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1659593192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC51224
- Practice address
- 496 S. Barton Ave
Fresno, CA 93702 - Phone
- (559) 860-4422
- Fax
- (559) 550-0373
- NPI assigned
- May 3, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 51224 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC51224 | CA | Primary |
Addresses
Primary practice location
496 S. Barton Ave
Fresno, CA 93702
Mailing address
3433 W. Shaw Ave #102
Fresno, CA 93711
Phone (559) 558-4051
Other practice location 1
4411 E Kings Canyon Rd # 319
Fresno, CA 93702-3604
Phone (559) 600-2382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51224 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51224 | CA | MD | Marriage & Family Therapist |
| MFC51224 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1659593192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 W. SHAW AVE #102",
"city": "FRESNO",
"state": "CA",
"postal_code": "93711",
"telephone_number": "559-558-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 S. BARTON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "93702",
"telephone_number": "559-860-4422",
"fax_number": "559-550-0373"
}
],
"practiceLocations": [
{
"address_1": "4411 E Kings Canyon Rd # 319",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937023604",
"country_code": "US",
"telephone_number": "559-600-2382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUGA",
"first_name": "GERARDO",
"credential": "M.A., LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51224",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC51224",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
"identifier": "51224",
"state": "CA"
}
],
"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 Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.