Gail Maureen Mallard-Warren, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G42804 Issued in CA

Practice address

6107 N 1St St
Suite 103
Fresno, CA 93710-5460

Phone

(559) 432-5697

Fax

(559) 432-5699

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gail.mallard.warren.1@17661.direct.athenahealth.com
• Direct secure messaging: gail.mallardwarren.p1@direct.omnifamilyhealth.nextgenshare.com

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.

• Omni Family Health

  • Federally Qualified Health Center (FQHC)
  • Tehachapi, CA
  • NPI 1851325021
  NPD (past)
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Huron, CA
  • NPI 1134101686
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487665535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 N 1ST ST",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105460",
            "telephone_number": "559-432-5697",
            "fax_number": "559-432-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 N 1ST ST",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105460",
            "telephone_number": "559-432-5697",
            "fax_number": "559-432-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLARD-WARREN",
        "first_name": "GAIL",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G42804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha Malik, PA-C
• Ammar Malik
• Shazia Tabasum Malik, NURSE PRACTITIONER
• Malintze Gutierrez, D.O., Inc. (Orion Health)
• Malintze Gutierrez, Inc. (Orion Health)
• Myla Mallari
• Varun Mallela
• Konstantin Roman Malley
• Natalya G Malley, MD
• Roman B Malley, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.