NPIMap

Organization Active NPI

Mariano & Querol Medical Associates, Inc.

  • General Practice Physician
  • Fresno, CA
National Provider Identifier
1861520264
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A88903 Issued in CA
Legal business name
MARIANO & QUEROL MEDICAL ASSOCIATES, INC.
Practice address
3636 N 1St St
Suite 150
Fresno, CA 93726-6800
Phone
(559) 222-5900
Fax
(559) 222-0029
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Dr. Hipolito Gallardo Mariano Jr., M.D
Title
President
Phone
(559) 222-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X A88903 CA Primary

Addresses

Primary practice location

3636 N 1St St
Suite 150
Fresno, CA 93726-6800

Mailing address

3636 N 1St St
Suite 150
Fresno, CA 93726-6800
Phone (559) 222-5900

Other names 1

  • Fresno Family Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3636 N 1st St
Ste 150
Fresno, CA 93726
Phone (559) 222-5900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1861520264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST",
            "address_2": "SUITE 150",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266800",
            "telephone_number": "559-222-5900",
            "fax_number": "559-222-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST",
            "address_2": "SUITE 150",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266800",
            "telephone_number": "559-222-5900",
            "fax_number": "559-222-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANO & QUEROL MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "MARIANO",
        "authorized_official_first_name": "HIPOLITO",
        "authorized_official_middle_name": "GALLARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-222-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A88903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresno Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.