DR. JACQUELINE SUSANNE MARQUEZ-PONCE M.D.
NPI 1275737736
Health Maintenance Organization in Fresno, CA
NPI Status: Active since June 11, 2007
Contact Information
7300 N FRESNO ST
FRESNO, CA
ZIP 93720
Phone: (559) 448-4161
- Individual
- Female
- Health Maintenance Organization
- PECOS Enrolled
About JACQUELINE MARQUEZ-PONCE
This page provides the complete NPI Profile along with additional information for Jacqueline Marquez-ponce, a provider established in Fresno, California with a medical specialization in Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1275737736 assigned on June 2007. The practitioner's primary taxonomy code is 302R00000X with license number A90507 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1275737736
- Provider Name
- DR. JACQUELINE SUSANNE MARQUEZ-PONCE M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7300 N FRESNO ST FRESNO, CA 93720
- Location Phone
- (559) 448-4161
- Mailing Address
- 5358 E BUTLER AVE FRESNO, CA 93727
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-11-2007
- Last Update Date
- 02-11-2022
- 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
Health Maintenance Organization
- Taxonomy Code
- 302R00000X
- Type
- Managed Care Organizations
- License No.
- A90507
- License State
- CA
- Taxonomy Description
- (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
Medicare Participation & PECOS Enrollment Status
Jacqueline Marquez-ponce 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
Reviews for DR. JACQUELINE SUSANNE MARQUEZ-PONCE M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1275737736, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FRESNO, CA 93720
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275737736, enumerated as an "individual" on June 11, 2007.
The provider is located at 7300 N FRESNO ST FRESNO, CA 93720 and the phone number is (559) 448-4161.
Health Maintenance Organization with taxonomy code 302R00000X.
