Individual provider Active NPI

Matthew Alexander Garza

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1881279131
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
146655 Issued in CA
Practice address
302 Fresno St Ste 101
Fresno, CA 93706-3641
Phone
(559) 457-5700
Fax
(559) 457-5790
NPI assigned
Mar 17, 2021
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 125002 CA
Marriage & Family Therapist 106H00000X 146655 CA Primary

Addresses

Primary practice location

302 Fresno St Ste 101
Fresno, CA 93706-3641

Mailing address

302 Fresno St Ste 101
Fresno, CA 93706-3641
Phone (559) 457-5700

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103001398 CA Practitioner - Marriage and Family Therapist 5496283491 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125002CAMDMarriage & Family Therapist
146655CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Jan 6, 2025 Accepting new patients
Clinica Sierra Vista CurrentSince Jan 6, 2025 Accepting new patients

Locations

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

302 Fresno St
Ste 101
Fresno, CA 93706
Phone (559) 457-5700

Organizations & group practices 2

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": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1881279131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063641",
            "telephone_number": "559-457-5700",
            "fax_number": "559-457-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063641",
            "telephone_number": "559-457-5700",
            "fax_number": "559-457-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "MATTHEW",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-17",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "125002",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "146655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.