PABLO JOSE CANOSA LMFT
NPI 1518128693
Marriage & Family Therapist in Fresno, CA
About Pablo Jose Canosa Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PABLO JOSE CANOSA LMFT (NPI 1518128693) is an individual marriage & family therapist in Fresno, California, licensed in California (53695) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Pablo Jose Canosa Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Pablo Canosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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.
FRESNO, CA 93703
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 Pablo Canosa's NPI number?
The NPI number for Pablo Canosa is 1518128693. It was assigned to this individual provider in the NPPES registry on June 20, 2008. The provider is also known as Pablo Jose Canosa Lmft.
Where is Pablo Canosa located?
Pablo Canosa practices at 2934 N Fresno St, Fresno, CA 93703. The listed phone number is (559) 549-6697.
What is Pablo Canosa's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Pablo Canosa enrolled in Medicare?
Yes. Pablo Canosa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Pablo Canosa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pablo Canosa reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Pablo Canosa'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 Pablo Canosa was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Pablo Jose Canosa, LMFT · NPI 1518128693
Marriage & Family Therapist provider in Fresno, California. Individual provider, active in the CMS NPPES registry since June 20, 2008.
## Identity
- **NPI:** 1518128693 (Entity type: Individual)
- **Enumerated:** June 20, 2008
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 53695 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2934 N FRESNO ST, Fresno, CA 93703-1123
- **Phone:** (559) 549-6697
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1518128693) · Data from the CMS NPPES public registry.