Healthcare Provider Details

I. General information

NPI: 1801882360
Provider Name (Legal Business Name): MARK ANTHONY PINTO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 N VAN NESS AVE
FRESNO CA
93728-3425
US

IV. Provider business mailing address

233 W QUINCY AVE
FRESNO CA
93711-6045
US

V. Phone/Fax

Practice location:
  • Phone: 559-499-1233
  • Fax: 559-439-5421
Mailing address:
  • Phone: 559-313-6877
  • Fax: 559-478-8000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA70500
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: