Hipolito G. Mariano, Jr., MD, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A88903 Issued in CA

Legal business name

HIPOLITO G. MARIANO, JR., MD, INC.

Practice address

3121 E Olive Ave
Fresno, CA 93702-1030

Phone

(559) 412-4927

Fax

(559) 493-5028

NPI assigned

Jul 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Hipolito Gallardo Mariano Jr., M.D.

Title

President

Phone

(559) 412-4927

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fresno Family Medical Clinic Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marlyn Cervania Conanan, M.D.

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1003916701
  NPD (past)
• Caleb Dajao Querol, M.D

  • General Practice Physician
  • Madera, CA
  • NPI 1578604880
  NPD (past)

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1144451659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 E OLIVE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937021030",
            "telephone_number": "559-412-4927",
            "fax_number": "559-493-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 E OLIVE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937021030",
            "telephone_number": "559-412-4927",
            "fax_number": "559-493-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIPOLITO G. MARIANO, JR., MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "MARIANO",
        "authorized_official_first_name": "HIPOLITO",
        "authorized_official_middle_name": "GALLARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-412-4927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A88903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A889030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresno Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randy Hinojosa
• Philip A. Hinton, M.D.
• Samuel Hinton, M.D.
• Sylvia Kim Hinton
• Rey Jayvee Arcuino Hinunangan, MD
• Gregory A Hipskind
• Jon David Hirasuna, MD
• Ericson Mutsuo Hirose, PA
• Vanessa Hise
• Lily Hitchner, MD

• Primary Care Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.