Maryam Esho, M.D., a Professional Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MARYAM ESHO, M.D., A PROFESSIONAL CORPORATION

Practice address

1729 N Olive Ave Ste 7
Turlock, CA 95382-2501

Phone

(209) 573-3333

Fax

(209) 844-0334

NPI assigned

Dec 4, 2018

Organization subpart

No

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

Authorized official

Name

Gina Wallace

Title

Agent

Phone

(209) 573-3333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1053881987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 N OLIVE AVE STE 7",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822501",
            "telephone_number": "209-668-6900",
            "fax_number": "209-668-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 N OLIVE AVE STE 7",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822501",
            "telephone_number": "209-573-3333",
            "fax_number": "209-844-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYAM ESHO, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "209-573-3333"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Martinez
• Netzy Martinez
• Tarina Martinez
• Yasmeen Alexia Martinez
• Mary Catherine Wolf
• Raul Mata
• Edrees Mateen, M.D.
• Neal James Mathew, PA-C
• Shamir Mavi
• Sergio Alonzo Mazon, M.D.

• Pediatrics Physician in Turlock, CA
• Providers in Turlock, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.