Active NPI
Mary Car Baniaga
- Family Nurse Practitioner
- Reedley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95021921
- Practice address
- 1429 N Acacia Ave
Reedley, CA 93654-2102 - Phone
- (559) 638-2522
- NPI assigned
- Aug 10, 2022
- Last updated
- Apr 11, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95021921 | CA | Primary |
| Family Medicine Physician | 207Q00000X | 95021921 | CA |
Addresses
Primary practice location
1429 N Acacia Ave
Reedley, CA 93654-2102
Mailing address
PO Box 28949
Fresno, CA 93729-8949
Phone (559) 228-5400
Other practice location 1
601 3rd St
Parlier, CA 93648-2028
Phone (800) 492-4227
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1429 N Acacia Ave
Reedley, CA 93654-2102
Phone (559) 638-2522
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Foundation Medical Group | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Reedley Community Hospital | Past | Accepting new patients |
Locations
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
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
- Internal Medicine Physician
- Fresno, CA
- NPI 1003329491
-
dba Sante' Foundation Medical Group
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
-
dba Adventist Health Reedley - Madera Ranchos
- Rural Health Clinic/Center
- Madera, CA
- NPI 1720459514
Hospital & facility affiliations 2
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
-
dba Adventist Health Reedley
- General Acute Care Hospital
- Reedley, CA
- NPI 1336167550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1427786193",
"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": "559-228-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 N ACACIA AVE",
"city": "REEDLEY",
"state": "CA",
"postal_code": "936542102",
"telephone_number": "559-638-2522"
}
],
"practiceLocations": [
{
"address_1": "601 3rd St",
"address_purpose": "LOCATION",
"city": "Parlier",
"state": "CA",
"postal_code": "936482028",
"country_code": "US",
"telephone_number": "800-492-4227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANIAGA",
"first_name": "MARY CAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95021921",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "95021921",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reedley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.