Marlyn Cervania Conanan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00A714960 Issued in CA

Practice address

3636 N 1St St
Suite 150
Fresno, CA 93726-6800

Phone

(559) 222-5900

Fax

(559) 222-0029

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hipolito G. Mariano, Jr., MD, Inc.

  • Primary Care Clinic/Center
  • Fresno, CA
  • NPI 1144451659
  NPD (past)
• Mariano & Querol Medical Associates, Inc.

  • General Practice Physician
  • Fresno, CA
  • NPI 1861520264
  NPD (past)
• Shaw Walk-in Medical Center/Urgent Care,Inc.

  • Clinic/Center
  • Fresno, CA
  • NPI 1174554836

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003916701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST",
            "address_2": "SUITE 150",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266800",
            "telephone_number": "559-222-5900",
            "fax_number": "559-222-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST",
            "address_2": "SUITE 150",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266800",
            "telephone_number": "559-222-5900",
            "fax_number": "559-222-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONANAN",
        "first_name": "MARLYN",
        "middle_name": "CERVANIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "00A714960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "00A714960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Pain Management Center, Inc.
• Comprehensive Youth Services of Fresno, Inc.
• Comprehensive Youth Services of Fresno, Inc. (Functional Family Therap
• Christy Marie Conanan, D.D.S.
• Jasmine Marie Conanan, M.S. CCC-SLP
• Orin Conant, LMFT
• Teri Conant
• Concentra
• Concentra Health Services, Inc.
• Concentra Health Services, Inc.

• Family Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.