Active NPI
Martha Jacqueline Verdugo Guzman
- Marriage & Family Therapist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 146026
- Practice address
- 2560 W Shaw LN Ste 104
Fresno, CA 93711-2777 - Phone
- (559) 443-4800
- NPI assigned
- Nov 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Marriage & Family Therapist | 106H00000X | 146026 | CA | Primary |
Addresses
Primary practice location
2560 W Shaw LN Ste 104
Fresno, CA 93711-2777
Mailing address
2560 W Shaw LN Ste 104
Fresno, CA 93711-2777
Phone (559) 443-4800
Other practice location 1
4939 E Yale Ave
Fresno, CA 93727-1523
Phone (559) 443-4800
Other practice location 2
2020 High St Ste E
Selma, CA 93662-3518
Phone (559) 443-4800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- National University of Arts and Sciences, Medical Department, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5150 N 6TH St
Suite 169
Fresno, CA 93710-7505
8254 N del Mar Ave
Fresno, CA 93711-6017
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno County Superintendent of Schools | Current | Accepting new patients | |
| Ron C Steele and Associates | Current | Accepting new patients | |
| Fresno County Superintendent of Schools | Current | Accepting new patients | |
| Fresno County Superintendent of Schools | Past | Accepting new patients |
Locations
2440 Tulare St
Ste 200
Fresno, CA 93721
Phone (559) 265-3089
4939 E Yale Ave
Fresno, CA 93727
Phone (559) 443-4820
2560 W Shaw Ln
Ste 104
Fresno, CA 93711
Phone (559) 431-1086
5150 N 6th St
Ste 169
Fresno, CA 93710
Phone (559) 574-5444
2020 High St
Ste E
Selma, CA 93662
Phone (559) 443-8000
Organizations & group practices 5
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.
-
- Clinical Social Worker
- Fresno, CA
- NPI 1598348161
-
- Marriage & Family Therapist
- Fresno, CA
- NPI 1225543796
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1235624768
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1467042408
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Selma, CA
- NPI 1114549110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1992460596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 W SHAW LN STE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937112777",
"telephone_number": "559-443-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 W SHAW LN STE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937112777",
"telephone_number": "559-443-4800"
}
],
"practiceLocations": [
{
"address_1": "4939 E Yale Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937271523",
"country_code": "US",
"telephone_number": "559-443-4800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2020 High St Ste E",
"address_purpose": "LOCATION",
"city": "Selma",
"state": "CA",
"postal_code": "936623518",
"country_code": "US",
"telephone_number": "559-443-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERDUGO GUZMAN",
"first_name": "MARTHA",
"middle_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-08",
"last_updated": "2024-10-16",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "146026",
"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 Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.