CAMILLA LOUISE MARQUEZ (NPI# 1457352866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457352866 |
| Entity Type | Individual |
| Full Name | CAMILLA LOUISE MARQUEZ |
| Credential | M.D. |
| Practice Address |
2416 W Shaw Ave Ste. 106 Fresno CA 93711-3303 |
| Mailing Address |
3812 N 1st St Fresno CA 93726-4301 |
| Practice Telephone | 5594381777 |
| Practice Fax Number | 5594324533 |
| Mailing Telephone | 5594953120 |
| Mailing Fax Number | 5594953134 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2013-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
A75634 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA STATE LIC NUMBER | A75634 | 01 |
| Street Address |
2416 W SHAW AVE STE. 106 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851937023 | Mariela Mendez Martinez | Counselor | 2416 W Shaw Ave, Fresno, CA 93711-3303 | 2019-11-22 |
| 1376884809 | Kulwinder Kaur | Obstetrics & Gynecology | 2416 W Shaw Ave, Suite 106, Fresno, CA 93711-3303 | 2013-03-07 |
| 1265645451 | Harbin Clymore Chiropractic | Chiropractor | 2416 W Shaw Ave, Suite 107, Fresno, CA 93711-3303 | 2007-05-07 |
| 1225044076 | Debra Rea Harbin | Chiropractor | 2416 W Shaw Ave, Suite 107, Fresno, CA 93711-3303 | 2006-08-01 |
| 1609809367 | Richard Ronald Clymore | Chiropractor | 2416 W Shaw Ave, Suite 107, Fresno, CA 93711-3303 | 2006-07-08 |
| 1285612424 | Dolores Ann West | Nurse Practitioner | 2416 W Shaw Ave, Ssuite 106, Fresno, CA 93711-3303 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053758607 | Elaine Winifred Morris | Obstetrics & Gynecology | 1752 W Calimyrna Ave Apt B, Fresno, CA 93711-1871 | 2013-05-22 |
| 1184769879 | Denard Manuel Fobbs Sr. | Obstetrics & Gynecology | 5339 N Fresno St Ste 105e, Fresno, CA 93710-6851 | 2007-02-20 |
| 1326132903 | Keith Ormon Kielmeyer | Obstetrics & Gynecology | 5536 E Lane Ave, Fresno, CA 93727-5336 | 2006-10-03 |
| 1396721197 | Omni Womens Health Medical Group Inc | Obstetrics & Gynecology | 3812 N 1st St, Fresno, CA 93726-4301 | 2005-12-22 |
| 1104827922 | Wade Alden Dickinson | Obstetrics & Gynecology | 3152 N Millbrook Ave, #suite B, Fresno, CA 93703-1459 | 2005-08-02 |
| 1437602919 | White Medical Group, Inc. | Obstetrics & Gynecology | 2152 E Cooper Avenue, Suite 111, Fresno, CA 93730-5404 | 2016-08-01 |
| 1912149691 | Julie Nicole | Obstetrics & Gynecology | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2009-03-27 |
| 1992899090 | Cynthia Ann Bergmann | Obstetrics & Gynecology | 6167 N Fresno St Ste 102, Fresno, CA 93710-8610 | 2006-10-03 |
| 1053425470 | The Center for Continence Care, Inc | Obstetrics & Gynecology | 2763 E Shaw Ave, Suite 102, Fresno, CA 93710-8220 | 2006-08-19 |
| 1548286511 | William Max Rich | Obstetrics & Gynecology | 6323 N Fresno St, Suite 105, Fresno, CA 93710-5282 | 2006-07-14 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.