HUMBERTO AVILA MD
NPI 1245694017
Family Medicine in Fresno, CA

Q: What is Humberto Avila's NPI number?

The NPI number for Humberto Avila is 1245694017. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Q: What is Humberto Avila's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Humberto Avila was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment

7300 N FRESNO ST, FRESNO, CA 93720(559) 448-5297 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2022, Apr 1, 2021, Oct 1, 2020 (3 updates tracked since 2020).

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About Humberto Avila Md NPPES

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

HUMBERTO AVILA MD (NPI 1245694017) is an individual family medicine provider in Fresno, California, licensed in California (154080) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2016).

NPPES Registry Identity

NPI1245694017

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameHUMBERTO AVILACredential: MD

Location Address7300 N FRESNO STFresno, CA 93720-2942

Mailing Address7300 N Fresno StFresno, CA 93720-2942

Phone(559) 448-5297

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2016

Enumeration DateApril 7, 2016

Last NPPES UpdateSeptember 14, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2022

✔ NPI 1245694017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 154080

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7300 N FRESNO ST, Fresno, CA 93720

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Other Identifiers 1

Other154080CA · Medical Board

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

Humberto Avila 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 ID8820331762

PECOS Enrollment IDI20200121000912

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.

Medicare Billing Reassignments

Medicare enrollment records show Humberto Avila reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Camarena Health

1.1 mi

Federally Qualified Health Center (FQHC)

7202 N MILLBROOK AVE STE 202
Fresno, CA 93720

Reassigned Medicare billing, California enrollment
142 clinicians in this Medicare group

NPI 1841815347 (559) 664-4000

Permanente Medical Group Inc

116 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Southern California Permanente Medical Group

176 mi

Health Maintenance Organization

43112 N 15TH ST
Lancaster, CA 93534

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1982863783 (661) 726-2279

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.

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.

MAULIK SHAH MD

Internal Medicine