Individual provider Active NPI

Marione Jill Tafalla Lear, FNP

  • Family Medicine Physician
  • Mendota, CA
National Provider Identifier
1366397473
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95038791 Issued in CA
Practice address
121 Belmont Ave Ste 100
Mendota, CA 93640-8231
Phone
(559) 424-0610
NPI assigned
Mar 3, 2026
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95038791 CA Primary

Addresses

Primary practice location

121 Belmont Ave Ste 100
Mendota, CA 93640-8231

Mailing address

6105 E Mono St
Fresno, CA 93727-6069
Phone (559) 424-0610

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260511002483 CA Practitioner - Nurse Practitioner 1557839289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1660 E Herndon Ave
Suite 101
Fresno, CA 93720-3346

6105 E Mono St
Fresno, CA 93727-6069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95038791CAMDFamily Medicine Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1366397473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 E MONO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937276069",
            "telephone_number": "559-424-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BELMONT AVE STE 100",
            "city": "MENDOTA",
            "state": "CA",
            "postal_code": "936408231",
            "telephone_number": "559-424-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAR",
        "first_name": "MARIONE",
        "middle_name": "JILL TAFALLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95038791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota, CA

Sources for this page

Verify at the official NPI Registry.