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CARLOS HUGO GUERRA SANCHEZ M.D.
NPI 1528216454
Pediatrics in Fresno, CA

Active since September 04, 2008PECOS Enrolled
4785 N 1ST ST FL 3, FRESNO, CA 93726(559) 458-4555 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carlos Hugo Guerra Sanchez M.d. NPPES

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

CARLOS HUGO GUERRA SANCHEZ M.D. (NPI 1528216454) is an individual pediatrics provider in Fresno, California, licensed in California (A130029) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528216454
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameCARLOS HUGO GUERRA SANCHEZCredential: M.D.
Location Address4785 N 1ST ST FL 3Fresno, CA 93726-0513
Mailing Address6789 E Robinson AveFresno, CA 93727-0860
Phone(559) 458-4555
Sole ProprietorNo
Enumeration DateSeptember 4, 2008
Last NPPES UpdateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1528216454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A130029
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4785 N 1ST ST FL 3, Fresno, CA 93726
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Hugo Guerra Sanchez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Carlos Guerra Sanchez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
118 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

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 93726 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.

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 Guerra Sanchez's NPI number?

The NPI number for Carlos Guerra Sanchez is 1528216454. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Where is Carlos Guerra Sanchez located?

Carlos Guerra Sanchez practices at 4785 N 1st St Fl 3, Fresno, CA 93726. The listed phone number is (559) 458-4555.

What is Carlos Guerra Sanchez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carlos Guerra Sanchez enrolled in Medicare?

Yes. Carlos Guerra Sanchez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlos Guerra Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Guerra Sanchez reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Guerra Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carlos Guerra Sanchez was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.