KEVIN T MARMOLEJO (NPI# 1821211186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821211186 |
| Entity Type | Individual |
| Full Name | KEVIN T MARMOLEJO |
| Credential | M.D. |
| Practice Address |
4441 E Kings Canyon Rd Fresno CA 93702-3604 |
| Mailing Address |
Po Box 11800 Fresno CA 93775-1800 |
| Practice Telephone | 5594536599 |
| Practice Fax Number | 5594538234 |
| Mailing Telephone | 5594536599 |
| Mailing Fax Number | 5594538234 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
A89294 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4441 E KINGS CANYON RD |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770538001 | County of Fresno | Clinic/Center | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2006-05-24 |
| 1912505215 | Darlene Garcia Alvarez | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-10-09 |
| 1134736606 | Abigail Coronado | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-09-28 |
| 1659983906 | Lauren Michelle Spade | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-08-18 |
| 1952912461 | Elesia Faye Evans | Registered Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-08-10 |
| 1457978553 | Fresno County Department of Behavioral Health | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-06 |
| 1194342477 | Kalisha Goodwin | Student in an Organized Health Care Education/Training Program | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-02 |
| 1285251512 | Adrienne Quesada Guzman | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-02 |
| 1942827241 | Christina Nouanesymanivanh Navarro I | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-02 |
| 1588281968 | Briana Elyse Pedro | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-01 |
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| 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 | 2084P0015X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychosomatic Medicine |
| Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295984607 | Maria Mercedes Baccaro | Psychiatry & Neurology | 30 E River Park Pl W, Suite 310, Fresno, CA 93720-1545 | 2008-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366811176 | Pain Management A Professional Corporation | Psychiatry & Neurology | 1601 Dove St Ste 100, Newport Beach, CA 92660-2410 | 2015-09-22 |
| 1619272028 | Susan T Kleeman | Psychiatry & Neurology | 6344 Muirlands Dr, La Jolla, CA 92037-6352 | 2011-01-14 |
| 1740590587 | Mafa R Kamal M D Inc | Psychiatry & Neurology | 120 E Longden Ave, Arcadia, CA 91006-5242 | 2010-10-14 |
| 1962690057 | Karen Eve Kleeman | Psychiatry & Neurology | 531 12th St, Santa Monica, CA 90402-2907 | 2007-10-15 |
| 1871794404 | James Henry Lake | Psychiatry & Neurology | 1015 Cass St, Suite 8, Monterey, CA 93940-4536 | 2007-05-30 |
| 1669673802 | Eli Comay | Psychiatry & Neurology | 8936 S Sepulveda Blvd, Los Angeles, CA 90045-3628 | 2007-05-28 |
| 1124238233 | Yoosuck Jung | Psychiatry & Neurology | 21117 Gary Dr, Hayward, CA 94546-6140 | 2007-05-23 |
| 1700096567 | Navdeep Dhaliwal, M.d. A Prof.corp | Psychiatry & Neurology | 2626 N California St Ste F, Stockton, CA 95204-5500 | 2007-05-23 |
| 1497960470 | Samuel Herbert Sandweiss | Psychiatry & Neurology | 767 Amiford Dr, San Diego, CA 92107-4254 | 2007-05-11 |
| 1841405990 | Joshua Sheldon Golden | Psychiatry & Neurology | 615 Palmera Ave, Pacific Palisades, CA 90272-3357 | 2007-05-11 |
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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.