DR. CARLOS MARGARITO HERNANDEZ DO
NPI 1033731997
Psychiatry & Neurology - Psychiatry in Fresno, CA
About Dr. Carlos Margarito Hernandez Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARLOS MARGARITO HERNANDEZ DO (NPI 1033731997) is an individual psychiatry provider in Fresno, California, licensed in California (A23815) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in East Lansing, and is a graduate of Michigan State University College Of Osteopathic Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Carlos Margarito Hernandez Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Carlos Hernandez reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 181 clinicians in this Medicare group
Modesto, CA 95355
- Reassigned Medicare billing, California enrollment
- 208 clinicians in this Medicare group
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 840 clinicians in this Medicare group
Marysville, CA 95901
- Reassigned Medicare billing, California enrollment
- 110 clinicians in this Medicare group
Lansing, MI 48910
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Community Mental Health Authority Of Clinton Eaton Ingham Counties
- 69 clinicians in this Medicare group
Owosso, MI 48867
- Reassigned Medicare billing, Michigan enrollment
- 328 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRESNO, CA 93720
FRESNO, CA 93720
FRESNO, CA 93720
FRESNO, CA 93720
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carlos Hernandez's NPI number?
The NPI number for Carlos Hernandez is 1033731997. It was assigned to this individual provider in the NPPES registry on May 14, 2020.
Where is Carlos Hernandez located?
Carlos Hernandez practices at 1303 E Herndon Ave, Fresno, CA 93720. The listed phone number is (559) 450-3000.
What is Carlos Hernandez's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Carlos Hernandez enrolled in Medicare?
Yes. Carlos Hernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carlos Hernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Hernandez reassigns Medicare benefits to 6 organizations: Saint Agnes Medical Center (Fresno, CA), Cep America - Psychiatry PC (Modesto, CA), Pih Health Physicians (Lancaster, CA), Rideout Memorial Hospital (Marysville, CA), Community Mental Health Authority Clinton Eaton Ingham Counties (Lansing, MI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlos Hernandez accept?
Health plans from Oscar Insurance Company and Priority Health list Carlos Hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carlos Hernandez was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Carlos Margarito Hernandez, DO · NPI 1033731997
Psychiatry physician in Fresno, California. Individual provider, active in the CMS NPPES registry since May 14, 2020.
## Identity
- **NPI:** 1033731997 (Entity type: Individual)
- **Enumerated:** May 14, 2020
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** A23815 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1303 E HERNDON AVE, Fresno, CA 93720-3309
- **Phone:** (559) 450-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Saint Agnes Medical Center (NPI 1205845567, Fresno, CA); Cep America - Psychiatry PC (NPI 1396507547, Modesto, CA); Pih Health Physicians (NPI 1558027441, Lancaster, CA); Rideout Memorial Hospital (NPI 1720088354, Marysville, CA); Community Mental Health Authority Clinton Eaton Ingham Counties (NPI 1265483457, Lansing, MI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2020
## Record status
- **NPPES last updated:** April 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033731997) · Data from the CMS NPPES public registry.