Organization Active NPI

William Garnica a Medical Corporation

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1760651335
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00A677520 Issued in CA
Legal business name
WILLIAM GARNICA A MEDICAL CORPORATION
Practice address
2384 E Gettysburg Ave
Fresno, CA 93726-0320
Phone
(559) 233-0335
Fax
(559) 233-0315
NPI assigned
Feb 27, 2008
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Juan G Bautista, MDNPI 1164713194
Title
Medical Director
Phone
(559) 233-0335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00A677520 CA Primary

Addresses

Primary practice location

2384 E Gettysburg Ave
Fresno, CA 93726-0320

Mailing address

2384 E Gettysburg Ave
Fresno, CA 93726-0320
Phone (559) 233-0335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602001372 CA Part B Supplier - Clinic/Group Practice 6406838572 Receives reassigned benefits from 4 practitioners
Practice locations: Fresno, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0588811William Garnica a Medical Corporation2384 E Gettysburg Ave, Fresno, CA 93726Certificate of waiverAug 10, 2026

National Provider Directory

National Provider Directory

Locations

1043 R St
Fresno, CA 93721
Phone (559) 233-0335

143 N Clark St
Ste B
Fresno, CA 93701
Phone (559) 233-0335

2384 E Gettysburg Ave
Fresno, CA 93726
Phone (559) 222-2333

2900 Fresno St
Ste 100
Fresno, CA 93721
Phone (559) 233-3131

3440 W Shaw Ave
Fresno, CA 93711
Phone (559) 233-0335

4590 E Clinton Ave
Fresno, CA 93703
Phone (559) 252-0500

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1760651335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 E GETTYSBURG AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260320",
            "telephone_number": "559-233-0335",
            "fax_number": "559-233-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 E GETTYSBURG AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260320",
            "telephone_number": "559-233-0335",
            "fax_number": "559-233-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM GARNICA A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "559-233-0335",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "00A677520",
            "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 Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.