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TAMMY ANDRADE-DE LA ISLA
NPI 1255937892
Social Worker in Fresno, CA

Active since December 09, 2020PECOS Enrolled
2560 W SHAW LN STE 104, FRESNO, CA 93711(559) 443-4800 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2023, Mar 13, 2023, Jan 12, 2021 and 1 more (4 updates tracked since 2020).

About Tammy Andrade-de La Isla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMMY ANDRADE-DE LA ISLA (NPI 1255937892) is an individual social worker in Fresno, California, licensed in California (LCSW119397) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255937892
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTAMMY ANDRADE-DE LA ISLA
Location Address2560 W SHAW LN STE 104Fresno, CA 93711-2777
Mailing Address2560 W Shaw Ln Ste 104Fresno, CA 93711-2777 · (559) 443-4800
Phone(559) 443-4800
Sole ProprietorNo
Enumeration DateDecember 9, 2020
Last NPPES UpdateDecember 11, 20234 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1255937892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in CA · LCSW119397✔ Licensed in CA · ASW91940
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ASW91940 (CA)
2560 W SHAW LN STE 104, Fresno, CA 93711
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Other Names 1

Former Name (1)Tammy Andrade

Secondary Practice Locations 2

Location 14939 E Yale AveFresno, CA 93727-1523 · Phone (559) 443-4800
Location 22020 High St Ste ESelma, CA 93662-3518 · Phone (559) 443-4800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tammy Andrade-de La Isla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tammy Andrade-de La Isla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
119 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE YVETTE SINERCHIO
Marriage & Family Therapist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (559) 443-4800
PANG VUE
Social Worker
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (559) 443-4800
ANABEL CARRASCO
Marriage & Family Therapist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (559) 443-4800
AUGUSTIN CISNEROS
Day Training/Habilitation Specialist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (559) 443-4800
MR. MIGUEL ANGEL AGUILAR MS. LMFT 149817
Marriage & Family Therapist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (559) 443-4800
GRISELL MARGARITA FRANCO GUZMAN
Social Worker (Clinical)
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (855) 343-1057
NORA NAVARRO-GARCIA
Marriage & Family Therapist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (559) 434-4800
GABRIEL CARLOS MONTHAN M.D.
Psychiatry & Neurology (Psychiatry)
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (559) 443-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Andrade-de La Isla's NPI number?

The NPI number for Tammy Andrade-de La Isla is 1255937892. It was assigned to this individual provider in the NPPES registry on December 9, 2020. The provider is also known as Tammy Andrade.

Where is Tammy Andrade-de La Isla located?

Tammy Andrade-de La Isla practices at 2560 W Shaw Ln Ste 104, Fresno, CA 93711. The listed phone number is (559) 443-4800.

What is Tammy Andrade-de La Isla's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Tammy Andrade-de La Isla enrolled in Medicare?

Yes. Tammy Andrade-de La Isla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tammy Andrade-de La Isla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Andrade-de La Isla reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tammy Andrade-de La Isla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tammy Andrade-de La Isla was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.