Individual provider Active NPI

Maria Katrina Visenio McCarron, MD

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1346599966
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A133977 Issued in CA
Practice address
2760 S Elm Ave
Fresno, CA 93706-5435
Phone
(559) 457-5300
Fax
(559) 457-5390
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A133977 CA Primary

Addresses

Primary practice location

2760 S Elm Ave
Fresno, CA 93706-5435

Mailing address

2760 S Elm Ave
Fresno, CA 93706-5435
Phone (559) 457-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150303000013 CA Practitioner - Pediatric Medicine 0042536450 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers Inc CurrentSince Jul 1, 2024 Accepting new patients
Camarena Health CurrentSince Jul 21, 2022 Accepting new patients
Camarena Health CurrentSince Jul 21, 2022 Accepting new patients
Camarena Health Pediatrics Current Accepting new patients
Community Medical Centers, Inc. Current Accepting new patients
Community Medical Centers Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

7912 West Ln
Ste 221
Stockton, CA 95210
Phone (209) 546-3870

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

Interoperability endpoints

  • Direct secure messaging: mmccarron768391@direct.ochin.org
  • Direct secure messaging: mariakatrina.mccarron.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: maria.visenio.p1@direct.altura.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1346599966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065435",
            "telephone_number": "559-457-5300",
            "fax_number": "559-457-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065435",
            "telephone_number": "559-457-5300",
            "fax_number": "559-457-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARRON",
        "first_name": "MARIA KATRINA",
        "middle_name": "VISENIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A133977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.