Individual provider Active NPI

Marlon Eugenio Echaverry, MD

  • Family Medicine Physician
  • San Mateo, CA
National Provider Identifier
1992266654
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A180485 Issued in CA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220727002829 CA Practitioner - Family Practice 5193107894 Reassigns benefits to 4 organizations

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
Central Valley Indian Health IncGroup PAC ID 9931092533, 33 clinicians

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

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A180485CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Faculty Associates, Inc. Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Central Valley Indian Health, Inc. Family Medicine CurrentSince Sep 22, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Sep 29, 2025 Accepting new patients
Clinica Sierra Vista CurrentSince Sep 29, 2025 Accepting new patients
Central California Faculty Medical Group, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
University Faculty Associates , Inc. CurrentSince Sep 1, 2022 Accepting new patients
Central Valley Indian Health Inc Family Medicine Current Accepting new patients
Central Valley Indian Health, Inc Family Medicine CurrentSince Sep 22, 2024 Accepting new patients
Central California Faculty Medical Group, Inc. Family Medicine CurrentSince Dec 1, 2024 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

  • Direct secure messaging: marlon.echaverry.1@17661.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.