Camilla Louise Marquez, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

A75634 Issued in CA

Practice address

650 W Alluvial Ave
Fresno, CA 93711-5507

Phone

(559) 438-1777

Fax

(559) 432-4533

NPI assigned

Aug 9, 2005

Last updated

Jan 27, 2023By the provider in NPPES

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

Other identifiers 1

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

Specialty

Obstetrics/Gynecology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Women's Healthcare Medical Group IncGroup PAC ID 4981987559, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Valley Women's Healthcare Medical Group, Inc

  • Obstetrics & Gynecology Physician
  • Fresno, CA
  • NPI 1154873230
  Medicare reassignment Care Compare group NPD
• Fresno Community Hospital and Medical Center

  dba Community Regional Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  NPD (past)
• Omni Women's Health Medical Group, Inc

  • Clinical Medical Laboratory
  • Fresno, CA
  • NPI 1891997813
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  Care Compare affiliation

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1457352866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W ALLUVIAL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115507",
            "telephone_number": "559-438-1777",
            "fax_number": "559-432-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W ALLUVIAL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115507",
            "telephone_number": "559-438-1777",
            "fax_number": "559-432-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "CAMILLA",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A75634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LIC NUMBER",
            "identifier": "A75634",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Susanne Marquez-Ponce, M.D.
• Adrain Bernardo Marquez, LMFT, M.S.
• Anna Marquez
• Ariana Lucy Marquez
• Arturo Alejandro Marquez
• Consuelo Del Carmen Marquez, AMFT
• Destiny Monique Marquez
• Elizabeth Paula Marquez, DDS
• Emily Marquez, SLPA
• Erin Colette Marquez, BSW

• Gynecology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.

Verify at the official NPI Registry.