NPIMap

Organization Active NPI

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

Doing business as Fresno Family Medical Clinic

  • Primary Care Clinic/Center
  • Fresno, CA
National Provider Identifier
1144451659
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A88903 Issued in CA
Legal business name
HIPOLITO G. MARIANO, JR., MD, INC.
Doing business as
Fresno Family Medical Clinic
Practice address
3121 E Olive Ave
Fresno, CA 93702-1030
Phone
(559) 412-4927
Fax
(559) 493-5028
NPI assigned
Jul 31, 2009
Last updated
Apr 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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.NPI 1376685685
Title
President
Phone
(559) 412-4927

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A88903 CA Primary

Addresses

Primary practice location

3121 E Olive Ave
Fresno, CA 93702-1030

Mailing address

3121 E Olive Ave
Fresno, CA 93702-1030
Phone (559) 412-4927

Other names 1

  • Fresno Family Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresno Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • 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.