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NPI Code Detail

MEDICARE: MR. MARK ANTHONY PINTO MD

MEDICARE: MR. MARK ANTHONY PINTO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA70500CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
300A705006OTHERCAMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100A705000OTHERCABLUE CROSS
200A705000OTHERCADELTA
400A705000OTHERCABLUE SHIELD OF CALIFORNIA

General Provider Information

NPI Number : 1801882360
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK ANTHONY PINTO MD
Provider Business Mailing Address
First Line : 233 W QUINCY AVE
Second Line :
City : FRESNO
State : CA
Zip : 93711-6045
Country : US
Telephone Number : 559-313-6877
Fax Number : 559-478-8000
Provider Business Practice Location Address
First Line : 807 N VAN NESS AVE
Second Line :
City : FRESNO
State : CA
Zip : 93728-3425
Country : US
Telephone Number : 559-499-1233
Fax Number : 559-439-5421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 06/05/2024

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