Active NPI
Antolin Garza Jr.
- Case Manager/Care Coordinator
- Fresno, CA
National Provider Identifier
1801585294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 5271 W Palo Alto Ave
Fresno, CA 93722-3635 - Phone
- (559) 276-2331
- NPI assigned
- May 2, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
5271 W Palo Alto Ave
Fresno, CA 93722-3635
Mailing address
1372 N Pleasant Ave
Fresno, CA 93728-1021
Other practice location 1
64 E Weldon Ave
Fresno, CA 93704-5956
Phone (559) 442-1947
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 |
|---|---|---|---|
| Fresno Youth Care Homes, Inc. | Current | Accepting new patients | |
| Fresno Youth Care Homes, Inc. | Past | Accepting new patients | |
| Fresno Youth Care Homes, Inc. | Past | Accepting new patients |
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1033875885
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1124784970
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1508410341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1801585294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1372 N PLEASANT AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937281021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5271 W PALO ALTO AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937223635",
"telephone_number": "559-276-2331"
}
],
"practiceLocations": [
{
"address_1": "64 E Weldon Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937045956",
"country_code": "US",
"telephone_number": "559-442-1947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARZA",
"first_name": "ANTOLIN",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"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 May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.