Active NPI
Crystal Laursen Garcia
- Licensed Vocational Nurse
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 713293
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 713293 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Fresno Youth Care Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Hope for Youth, Inc. | Past | Accepting new patients | |
| Fresno Youth Care Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1124784970
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1508410341
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1063021921
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1255970356
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1447899786
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1457990541
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1801436704
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1942849013
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.