Active NPI
Marlon Eugenio Echaverry, MD
- Family Medicine Physician
- San Mateo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A180485
- Practice address
- 50 S San Mateo Dr
San Mateo, CA 94401-3857 - Phone
- (650) 652-8500
- NPI assigned
- Mar 26, 2019
- Last updated
- Aug 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A180485 | CA | Primary |
Addresses
Primary practice location
50 S San Mateo Dr
San Mateo, CA 94401-3857
Mailing address
PO Box 276950
Sacramento, CA 95827-6950
Other practice location 1
2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 443-2682
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
255 W Bullard Ave
Suite 109
Clovis, CA 93612-0861
Phone (559) 325-5715
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A180485 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Faculty Associates, Inc. | Family Medicine | Current | Accepting new patients |
| Central Valley Indian Health, Inc. | Family Medicine | Current | Accepting new patients |
| Clinica Sierra Vista | Current | Accepting new patients | |
| Clinica Sierra Vista | Current | Accepting new patients | |
| Central California Faculty Medical Group, Inc. | Current | Accepting new patients | |
| Clinica Sierra Vista | Current | Accepting new patients | |
| University Faculty Associates , Inc. | Current | Accepting new patients | |
| Central Valley Indian Health Inc | Family Medicine | Current | Accepting new patients |
| Central Valley Indian Health, Inc | Family Medicine | Current | Accepting new patients |
| Central California Faculty Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients | |
| Clinica Sierra Vista | Past | Accepting new patients |
Locations
255 W Bullard Ave
Ste 109
Clovis, CA 93612
Phone (559) 297-7563
2740 Herndon Ave
Clovis, CA 93611
Phone (559) 299-2608
1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400
2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545
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
Ste 2100
Fresno, CA 93701
Phone (866) 342-6012
Interoperability endpoints
- marlon.echaverry.1@17661.direct.athenahealth.com
- mechaverry27734@clinicasierravista.direct-ci.com
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1457603573
-
dba Orange and Butler Community Health Center
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1740439314
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1073911137
Family Medicine
-
- Internal Medicine Physician
- Clovis, CA
- NPI 1992742852
Family Medicine
-
dba Elm Community Health Center
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1245489814
-
- Vascular Surgery Physician
- Fresno, CA
- NPI 1881092963
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1245234673
-
- Federally Qualified Health Center (FQHC)
- Huron, CA
- NPI 1134101686
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
dba Community Home Care
- Home Health Agency
- Fresno, CA
- NPI 1588745137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1992266654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276950",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958276950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S SAN MATEO DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013857",
"telephone_number": "650-652-8500"
}
],
"practiceLocations": [
{
"address_1": "2823 Fresno St",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937211324",
"country_code": "US",
"telephone_number": "559-443-2682",
"fax_number": "559-443-2681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ECHAVERRY",
"first_name": "MARLON",
"middle_name": "EUGENIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-26",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A180485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
- Dyshun Beshears
- Lamia Eap, FNP
- Ear, Nose & Throat Medical Associates of the Peninsula, Inc
- Ear, Nose and Throat Associates of San Mateo County Inc
- Eartone Hearing Aid Center Inc.
- Maria Lucila Echeverria-Bustios, MFT I
- Mitchell Eckstein, LCSW
- Eco Center for Education and Wellness
- Jeffrey Edgerton
- Edgewood Center for Children and Families
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.