Individual provider Active NPI

Crystal Laursen Garcia

  • Licensed Vocational Nurse
  • Fresno, CA
National Provider Identifier
1972190304
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
713293 Issued in CA
Practice address
4411 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone
(559) 453-1008
NPI assigned
Dec 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 713293 CA Primary

Addresses

Primary practice location

4411 E Kings Canyon Rd
Fresno, CA 93702-3604

Mailing address

4411 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 453-1008

Other practice location 1

6250 N Millbrook Ave
Fresno, CA 93710-5620
Phone (559) 431-7874

Other practice location 2

3894 E Gettysburg Ave
Fresno, CA 93726-0901
Phone (559) 454-0822

Other practice location 3

64 E Weldon Ave
Fresno, CA 93704-5956
Phone (559) 442-1947

Other practice location 4

4862 E Clinton Ave
Fresno, CA 93703-2873
Phone (559) 252-2450

Other practice location 5

2216 E Cambridge Ave
Fresno, CA 93703-2123
Phone (559) 230-1465

Other practice location 6

6224 W Belmont Ave
Fresno, CA 93723-9556
Phone (559) 277-9089

Other practice location 7

4324 W Harvard Ave
Fresno, CA 93722-5183
Phone (559) 681-1470

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

State licenses

LicenseStateTypeSpecialty
713293CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 5, 2020 Accepting new patients
Fresno Youth Care Homes, Inc. PastSince Aug 1, 2019 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 1, 2020 Accepting new patients
Hope for Youth, Inc. PastSince Aug 2, 2020 Accepting new patients
Fresno Youth Care Homes, Inc. PastSince Nov 21, 2021 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 1, 2020 Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1972190304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023604",
            "telephone_number": "559-453-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023604",
            "telephone_number": "559-453-1008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6250 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105620",
            "country_code": "US",
            "telephone_number": "559-431-7874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3894 E Gettysburg Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937260901",
            "country_code": "US",
            "telephone_number": "559-454-0822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        },
        {
            "address_1": "4862 E Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032873",
            "country_code": "US",
            "telephone_number": "559-252-2450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2216 E Cambridge Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032123",
            "country_code": "US",
            "telephone_number": "559-230-1465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6224 W Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937239556",
            "country_code": "US",
            "telephone_number": "559-277-9089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4324 W Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937225183",
            "country_code": "US",
            "telephone_number": "559-681-1470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAURSEN GARCIA",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "713293",
            "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 Aug 22, 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.

Verify at the official NPI Registry.