HIPOLITO G. MARIANO, JR., MD, INC. (NPI# 1144451659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144451659 |
| Entity Type | Organization |
| Organization Name | HIPOLITO G. MARIANO, JR., MD, INC. |
| Other Organization Name | FRESNO FAMILY MEDICAL CLINIC |
| Practice Address |
3121 E Olive Ave Fresno CA 93702-1030 |
| Practice Telephone | 5594124927 |
| Practice Fax Number | 5594935028 |
| Mailing Telephone | 5594124927 |
| Mailing Fax Number | 5594935028 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | DR. HIPOLITO GALLARDO MARIANO JR. (PRESIDENT) |
| Authorized Official Telephone | 5594124927 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A88903 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A889030 | 05 |
| Other Name | Type Code |
|---|---|
| Fresno Family Medical Clinic | Doing Business As Name - Organization |
| Street Address |
3121 E OLIVE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376685685 | Hipolito Gallardo Mariano Jr. | Pediatrics | 3121 E Olive Ave, Fresno, CA 93702-1030 | 2007-02-13 |
| 1598366296 | Abigail Ellery Meredith | Nurse Practitioner | 3121 E Olive Ave, Fresno, CA 93702-1030 | 2020-11-08 |
| 1891116430 | Family Physicians Laboratories,inc. | Clinical Medical Laboratory | 3121 E Olive Ave, Fresno, CA 93702-1030 | 2013-12-28 |
| 1467883611 | Vida Del Valle Medical Center | Clinic/Center | 3121 E Olive Ave, Fresno, CA 93702-1030 | 2013-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299699 | California Dreams Medical Corporation PC | Clinic/Center | 3656 W Shaw Ave, Fresno, CA 93711-3231 | 2019-11-12 |
| 1205487386 | Ranu Pediatrics Incoroporated | Clinic/Center | 5557 E Kings Canyon Rd, Fresno, CA 93727-4528 | 2019-09-20 |
| 1881164754 | Elite Medical Care Inc | Clinic/Center | 1515 E Alluvial Ave # 103, Fresno, CA 93720-3832 | 2018-12-04 |
| 1013423599 | Fresno Healthcare Center, Inc. | Clinic/Center | 3233 N Chestnut Ave Ste 102, Fresno, CA 93726-6441 | 2017-12-20 |
| 1164932414 | Nabil Baig Medical Corp | Clinic/Center | 7210 N Milburn Ave Ste 105, Fresno, CA 93722-8449 | 2017-10-01 |
| 1124567938 | Staywell Medical Group | Clinic/Center | 7413 N Cedar Ave Ste 101, Fresno, CA 93720-3833 | 2017-02-14 |
| 1609242791 | Freddie L. Hayes Md | Clinic/Center | 3702 E Saginaw Way, Fresno, CA 93726-5123 | 2015-08-12 |
| 1073908158 | Vang Children's Urgent Care, Inc. | Clinic/Center | 4615 N 1st St, Fresno, CA 93726-0904 | 2015-04-06 |
| 1992992481 | Dr. Francisco Salcedo Md Inc | Clinic/Center | 2650 Tuolumne St, Fresno, CA 93721-1227 | 2007-09-27 |
| 1518180298 | Suchat Jariangprasert M.d.,inc. | Clinic/Center | 2936 N Fresno St, Fresno, CA 93703-1123 | 2007-04-11 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.