Blanca I Fresno, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A45205 Issued in CA

Practice address

655 Euclid Ave Ste 207
National City, CA 91950-2968

Phone

(619) 472-4575

Fax

(619) 475-4578

NPI assigned

Aug 3, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (5 of 6)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Paradise Family Health Center

  • Family Medicine Physician
  • National City, CA
  • NPI 1366427734
  NPD (past) Authorized official
• Paradise Valley Hospital

  • General Acute Care Hospital
  • National City, CA
  • NPI 1598756710
  NPD (past)
• Rady Children'S Hospital San Diego

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Diego, CA
  • NPI 1851303994
  NPD (past)
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1659359446
  NPD (past)
• Sharp Chula Vista Medical Center

  • Skilled Nursing Facility
  • Chula Vista, CA
  • NPI 1538142369
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1346258787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 207",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502968",
            "telephone_number": "619-475-4575",
            "fax_number": "619-475-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 207",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502968",
            "telephone_number": "619-472-4575",
            "fax_number": "619-475-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESNO",
        "first_name": "BLANCA",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A45205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guadalupe Flores
• Jill M Flores, MD
• Hanna Dale Foley, D.P.T.
• Tierra S Ford
• Donald Neal Freeman, O.D.
• Nohemi Fuentes Vega
• Edwin B Fuller, MD
• Sabrina Gaba, MS, OTR/L
• John Steve Gachupin, CADC-II
• Khalil Gaieb, PHARMD

• All providers in National City, CA
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.