DR. STEPHANIE YASMINE PABLO MD
NPI 1164051991
Family Medicine in Fresno, CA

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
4711 W ASHLAN AVE, FRESNO, CA 93722(559) 203-6640 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stephanie Yasmine Pablo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHANIE YASMINE PABLO MD (NPI 1164051991) is an individual family medicine provider in Fresno, California, licensed in California (A184680) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164051991
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEPHANIE YASMINE PABLOCredential: MD
Location Address4711 W ASHLAN AVEFresno, CA 93722-4307
Mailing AddressPo Box 737San Joaquin, CA 93660-0737
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 3, 2020
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
NPI 1164051991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A184680
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4711 W ASHLAN AVE, Fresno, CA 93722

Secondary Practice Location 1

Location 12823 Fresno StFresno, CA 93721-1324 · Phone (559) 443-2682 · Fax (559) 443-2681

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephanie Yasmine Pablo Md 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.

PECOS PAC ID1658726914
PECOS Enrollment IDI20240610003963
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93722 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Student in an Organized Health Care Education/Training Program
4711 W ASHLAN AVE
FRESNO, CA 93722
Family Medicine
4711 W ASHLAN AVE
FRESNO, CA 93722
Psychologist (Clinical)
4711 W ASHLAN AVE
FRESNO, CA 93722
Student in an Organized Health Care Education/Training Program
4711 W ASHLAN AVE
FRESNO, CA 93722
Family Medicine
4711 W ASHLAN AVE
FRESNO, CA 93722
Student in an Organized Health Care Education/Training Program
4711 W ASHLAN AVE
FRESNO, CA 93722
Dentist (Dental Public Health)
4711 W ASHLAN AVE
FRESNO, CA 93722
Dentist (General Practice)
4711 W ASHLAN AVE
FRESNO, CA 93722

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 Stephanie Pablo's NPI number?

The NPI number for Stephanie Pablo is 1164051991. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Stephanie Pablo located?

Stephanie Pablo practices at 4711 W Ashlan Ave, Fresno, CA 93722. The listed phone number is (559) 203-6640.

What is Stephanie Pablo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephanie Pablo enrolled in Medicare?

Yes. Stephanie Pablo 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.

When was this NPI record last updated?

The NPPES record for Stephanie Pablo was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.