Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin T Marmolejo, MD

Individual provider Psychosomatic Medicine Physician · NPI 1821211186

Kevin T Marmolejo, MD is a Psychiatry in Fresno, California. Graduated from University of Southern California Keck School of Medicine in 2003, 23 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone: (559) 453-6599
Fax: (559) 453-8234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychosomatic Medicine Physician (primary) Taxonomy 2084P0015X · Licence A89294 (CA)

Record details

NPI number1821211186
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESDecember 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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