Individual provider Active NPI

Marketa Limova, M.D.

  • Dermatology Physician
  • Fresno, CA
National Provider Identifier
1871660936
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G64053 Issued in CA
Practice address
1340 W Herndon Ave Ste 101
Fresno, CA 93711-7180
Phone
(559) 438-6577
Fax
(559) 438-0585
NPI assigned
Nov 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G64053 CA Primary

Addresses

Primary practice location

1340 W Herndon Ave Ste 101
Fresno, CA 93711-7180

Mailing address

346 W Audubon Dr
Fresno, CA 93711-6095
Phone (559) 438-6577

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
I20080718000595 CA Practitioner - Dermatology 9739252099 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Francisco School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minarets Medical Group, Inc.Group PAC ID 2567535826, 4 clinicians

Practice addresses (Care Compare)

1340 W Herndon Ave
Suite 101
Fresno, CA 93711-7180
Phone (559) 438-6577

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision91
Removal of tissue18
Removal of skin lesions2145
Removal or shaving of skin growth1-10
Skin biopsy277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G64053CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minarets Medical Group, Inc. Dermatology CurrentSince Jan 1, 1992 Accepting new patients
University of California San Francisco Dermatology CurrentSince Dec 1, 1991 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 1, 1991 Accepting new patients
UCSF Medical Group Business Services Dermatology CurrentSince Dec 1, 1991 Accepting new patients
University of California San Francisco CurrentSince Dec 1, 1991 Accepting new patients
University of California San Francisco Current Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1340 W Herndon Ave
Ste 101
Fresno, CA 93711
Phone (559) 438-6577

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-3131

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Organizations & group practices 9

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871660936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 W AUDUBON DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116095",
            "telephone_number": "559-438-6577",
            "fax_number": "559-438-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 W HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117180",
            "telephone_number": "559-438-6577",
            "fax_number": "559-438-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMOVA",
        "first_name": "MARKETA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G64053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.