Active NPI
David G Carrera
- Case Manager/Care Coordinator
- Madera, CA
National Provider Identifier
1861955403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 10535 Road 35
Madera, CA 93636-8487 - Phone
- (559) 645-1727
- Fax
- (559) 645-3002
- NPI assigned
- Apr 10, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
10535 Road 35
Madera, CA 93636-8487
Mailing address
2610 W Shaw LN Ste 105
Fresno, CA 93711-2775
Phone (559) 437-1144
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 |
|---|---|---|---|
| Valley Teen Ranch | Case Manager/Care Coordinator | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Madera, CA
- NPI 1295191260
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1861955403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 W SHAW LN STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937112775",
"telephone_number": "559-437-1144",
"fax_number": "559-438-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10535 ROAD 35",
"city": "MADERA",
"state": "CA",
"postal_code": "936368487",
"telephone_number": "559-645-1727",
"fax_number": "559-645-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRERA",
"first_name": "DAVID",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.