Individual provider Active NPI

Linzy Urrutia, PA-C

  • Medical Physician Assistant
  • Fresno, CA
National Provider Identifier
1790150936
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA53106 Issued in CA
Practice address
1780 E Bullard Ave
Fresno, CA 93710-5861
Phone
(559) 485-8500
Fax
(559) 485-8500
NPI assigned
Dec 13, 2015
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA53106 CA Primary

Addresses

Primary practice location

1780 E Bullard Ave
Fresno, CA 93710-5861

Mailing address

1780 E Bullard Ave
Fresno, CA 93710-5861
Phone (559) 485-8500

Other practice location 1

313 W Shaw Ave
Clovis, CA 93612-3685
Phone (559) 485-8500

Other names 1

  • Linzy Breneman Former name

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
I20160224000289 CA Order and Referring Only - Physician Assistant 0446555783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53016CAMDOrthodontics and Dentofacial Orthopedic Dentist
PA53106CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
United Health Centers of the San Joaquin Valley PastSince Jul 20, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: linzy.urrutia.1@17661.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1790150936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 E BULLARD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105861",
            "telephone_number": "559-485-8500",
            "fax_number": "559-485-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 E BULLARD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105861",
            "telephone_number": "559-485-8500",
            "fax_number": "559-485-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 W Shaw Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936123685",
            "country_code": "US",
            "telephone_number": "559-485-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URRUTIA",
        "first_name": "LINZY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-13",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA53106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINZY",
            "last_name": "BRENEMAN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.