KEVIN T MARMOLEJO M.D.
NPI 1821211186
Psychiatry & Neurology - Psychosomatic Medicine in Fresno, CA
NPI Status: Active since April 11, 2007
Contact Information
4441 E KINGS CANYON RD
FRESNO, CA
ZIP 93702
Phone: (559) 453-6599
Fax: (559) 453-8234
- Individual
- Male
- Psychiatry & Neurology
- Psychosomatic Medicine
- PECOS Enrolled
About KEVIN MARMOLEJO
This page provides the complete NPI Profile along with additional information for Kevin Marmolejo, a provider established in Fresno, California with a medical specialization in Psychiatry & Neurology, focusing in psychosomatic medicine . The healthcare provider is registered in the NPI registry with number 1821211186 assigned on April 2007. The practitioner's primary taxonomy code is 2084P0015X with license number A89294 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1821211186
- Provider Name
- KEVIN T MARMOLEJO M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4441 E KINGS CANYON RD FRESNO, CA 93702
- Location Phone
- (559) 453-6599
- Location Fax
- (559) 453-8234
- Mailing Address
- PO BOX 11800 FRESNO, CA 93775
- Mailing Phone
- (559) 453-6599
- Mailing Fax
- (559) 453-8234
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-11-2007
- Last Update Date
- 12-15-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychosomatic Medicine
- Taxonomy Code
- 2084P0015X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A89294
- License State
- CA
- Taxonomy Description
- Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.
Medicare Participation & PECOS Enrollment Status
Kevin Marmolejo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 2 | 1 | 2 | 1 | 1 | 1 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 4 | 1 | 2 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 4 + 1 + 2 + 1 + 1 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1821211186 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700993003 | XAVIER DAVID LARA M.D. Individual | Psychiatry & Neurology (Psychiatry) | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-6599 |
| 1518074863 | EVANGELINE ARAUCAN MURILLO M.D. Individual | Psychiatry & Neurology (Psychiatry) | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-6599 |
| 1760599096 | LUYEN THI LUU M.D. Individual | Psychiatry & Neurology (Psychiatry) | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-6599 |
| 1760591432 | ARCHANA BANERJEE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-6599 |
| 1992814610 | RAMON QUIEM RAYPON M.D. Individual | Psychiatry & Neurology (Psychiatry) | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-6599 |
| 1194890277 | DR. ALTAGRACIA OTERO M.D. Individual | Psychiatry & Neurology (Psychiatry) | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-6599 |
| 1205994449 | MS. MARGARET J. HEFFRON LCSW Individual | Social Worker (Clinical) | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-4099 |
| 1780742726 | MS. CAROL D. GRAINGER LMFT Individual | Marriage & Family Therapist | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-4099 |
| 1912066150 | RICHARD EIDENSCHINK L.M.F.T. Individual | Counselor (Mental Health) | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-4099 |
| 1114087152 | MS. REBECCA MENDEZ CMHS LL Individual | Counselor (Mental Health) | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-4099 |
| 1023165271 | DR. ADRIAN LOUIS DELLA PORTA PHD Individual | Psychologist | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 253-9131 |
| 1063569895 | MS. NICCOLETTA MARIE GRAM LCSW Individual | Social Worker (Clinical) | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-4099 |
| 1417004128 | MS. BONNIE SUSAN COGDILL LVN Individual | Licensed Vocational Nurse | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 253-9131 |
| 1942358254 | PROF. CYNTHIA DIANE RICHARDSON Individual | Rehabilitation Practitioner | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-4099 |
| 1578611786 | MS. DELIA DELGADO LVN Individual | Licensed Vocational Nurse | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-5191 |
| 1114075322 | MRS. THELMA MASANGKAY GOMEZ LVN Individual | Licensed Vocational Nurse | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-5191 |
| 1023166121 | MRS. HELEN IRENE ORTEGA LVN Individual | Licensed Vocational Nurse | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-5191 |
| 1104974104 | MISS SHEILA DENISE WRIGHT LVN Individual | Licensed Vocational Nurse | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-5191 |
| 1679623441 | MRS. FE TORIO RN Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-5191 |
| 1871645036 | MR. AGUSTIN G. CRUZ Individual | Rehabilitation Practitioner | 4441 E KINGS CANYON RD FRESNO, CA 93702 (559) 453-4099 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821211186, enumerated in the NPI registry as an "individual" on April 11, 2007
The provider is located at 4441 E Kings Canyon Rd Fresno, Ca 93702 and the phone number is (559) 453-6599
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0015X with a focus in Psychosomatic Medicine
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 11, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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