Individual provider Active NPI

Marina Y Alper, MD

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1609817337
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A53855 Issued in CA
Practice address
7355 N Palm Ave Ste 100
Fresno, CA 93711-5770
Phone
(559) 271-6301
NPI assigned
Jun 10, 2006
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A53855 CA Primary

Addresses

Primary practice location

7355 N Palm Ave Ste 100
Fresno, CA 93711-5770

Mailing address

PO Box 28949
Fresno, CA 93729-8949
Phone (559) 228-5400

Other practice location 1

290 N Wayte Ln
Fresno, CA 93701-2124
Phone (866) 342-6012

Other identifiers 1

IdentifierTypeStateIssuer
00A538550MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170922001921 CA Practitioner - Pediatric Medicine 9032483474 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53855CAMDDentist
A53855CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Faculty Associates, Inc. Pediatrics CurrentSince Aug 13, 2017 Accepting new patients
Community Foundation Medical Group CurrentSince Aug 1, 2018 Accepting new patients
Community Foundation Medical Group CurrentSince Aug 1, 2018 Accepting new patients
Central California Faculty Medical Group, Inc. Current Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Central California Faculty Medical Group, Inc. Pediatrics CurrentSince Dec 1, 2024 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Valley Children's Hospital Past Accepting new patients

Locations

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

4770 W Herndon Ave
Fresno, CA 93722
Phone (559) 271-6300

7355 N Palm Ave
Ste 100
Fresno, CA 93711
Phone (559) 271-6300

Interoperability endpoints

  • Direct secure messaging: marina.alper.1@17661.direct.athenahealth.com

Organizations & group practices 8

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1609817337",
    "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",
            "fax_number": "559-228-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 N PALM AVE STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115770",
            "telephone_number": "559-271-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 N Wayte Ln",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012124",
            "country_code": "US",
            "telephone_number": "866-342-6012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALPER",
        "first_name": "MARINA",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A53855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A538550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.