DR. HIPOLITO GALLARDO MARIANO JR. (NPI# 1376685685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376685685 |
| Entity Type | Individual |
| Full Name | DR. HIPOLITO GALLARDO MARIANO JR. |
| Credential | M.D |
| 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 | 2007-02-13 |
| Last Update Date | 2016-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | A88903 | CA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | A88903 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3121 E OLIVE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1144451659 | Hipolito G. Mariano, Jr., Md, Inc. | Clinic/Center | 3121 E Olive Ave, Fresno, CA 93702-1030 | 2009-07-31 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447729439 | Z Family Health Clinic, Inc. | General Practice | 1095 E Shaw Ave Ste 200, Fresno, CA 93710-7813 | 2018-11-19 |
| 1013361393 | Abby Medical Associates, Inc. | General Practice | 311 N Abby St, Fresno, CA 93701-1906 | 2016-04-22 |
| 1558755181 | Parayno M D Inc | General Practice | 1410 Kern St, 102, Fresno, CA 93706-3322 | 2015-03-20 |
| 1548519549 | Jf Urgent Care Medical Clinics Inc | General Practice | 1359 N Fresno St Ste A, Fresno, CA 93703-3837 | 2012-09-05 |
| 1609125152 | Jf Urgent Care Medical Clinics Inc | General Practice | 5088 N Fresno St Ste A, Fresno, CA 93710-7611 | 2012-08-30 |
| 1891061693 | Elpidio Fonte | General Practice | 2210 E Illinois Ave Ste 201, Fresno, CA 93701-2184 | 2012-03-26 |
| 1346513736 | Allen Kimwo Mau | General Practice | 3976 No. Sherman St, Fresno, CA 93726 | 2012-02-15 |
| 1043513526 | Amor Fernando Md Inc | General Practice | 3766 N 1st St, Fresno, CA 93726-5601 | 2010-12-06 |
| 1912221748 | Eternity Health Care Inc | General Practice | 3742 N 1st St, Fresno, CA 93726-5601 | 2010-03-23 |
| 1295975274 | Central California Sleep Center | General Practice | 7770 N Fresno St Ste 101, Fresno, CA 93720-2412 | 2009-03-03 |
| 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.