Active NPI
Mary Poor Hill, MD
- Family Medicine Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A53535
- Practice address
- 7407 N Cedar Ave
Suite 102
Fresno, CA 93720-3637 - Phone
- (559) 451-0893
- NPI assigned
- Sep 8, 2005
- Last updated
- Feb 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A53535 | CA | Primary |
Addresses
Primary practice location
7407 N Cedar Ave
Suite 102
Fresno, CA 93720-3637
Mailing address
PO Box 28949
Fresno, CA 93729-8949
Phone (559) 228-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A535350 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2335 E Kashian LN
Fresno, CA 93701-2234
275 W Herndon Ave
Clovis, CA 93612-0204
Phone (559) 324-6200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53535 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Foundation Medical Group | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| Marvin P Matlock M D Inc | Past | Accepting new patients |
Locations
275 W Herndon Ave
Clovis, CA 93612
Phone (559) 321-4255
681 N Medical Center Dr W
Ste 103
Clovis, CA 93611
Phone (559) 299-2200
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101
7407 N Cedar Ave
Ste 102
Fresno, CA 93720
Phone (559) 369-4421
48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711
1425 N Acacia Ave
Reedley, CA 93654
Phone (209) 637-1050
1429 N Acacia Ave
Reedley, CA 93654
Phone (559) 638-2522
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sante' Foundation Medical Group
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
dba Sante' Foundation Medical Group
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1346486396
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Clovis Community Medical Center
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1356335053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28949",
"city": "FRESNO",
"state": "CA",
"postal_code": "937298949",
"telephone_number": "559-228-4200",
"fax_number": "559-224-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7407 N CEDAR AVE",
"address_2": "SUITE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203637",
"telephone_number": "559-451-0893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "MARY",
"middle_name": "POOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-08",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A53535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A535350",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.