Active NPI
John Michael Martinez, M.D.
- Sports Medicine (Family Medicine) Physician
- Mill Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- A74529
- Practice address
- 750 Redwood Hwy Frontage Rd Ste 1204
Mill Valley, CA 94941-2483 - Phone
- (415) 384-4778
- Fax
- (415) 384-4779
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | A74529 | CA | Primary |
Addresses
Primary practice location
750 Redwood Hwy Frontage Rd Ste 1204
Mill Valley, CA 94941-2483
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Phone (916) 379-2861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Albany Medical College of Union University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1310 El Camino Real
Suite I J
San Bruno, CA 94066-1305
Phone (650) 270-2395
199 W Portal Ave
San Francisco, CA 94127-1305
Phone (415) 821-8798
2395 Lombard St
San Francisco, CA 94123-2601
Phone (415) 796-2242
325 Gellert Blvd
Daly City, CA 94015-2613
Phone (650) 270-2394
3838 California St
RM 111
San Francisco, CA 94118-1504
Phone (415) 221-6476
3900 Piedmont Ave
Oakland, CA 94611-5352
Phone (415) 432-7899
750 Redwood Hwy Frontage Rd
Suite 1204
Mill Valley, CA 94941-2483
Phone (415) 384-4778
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A74529 | CA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Health Medical Foundation | Current | Accepting new patients | |
| Home Physicians Medical Group, Inc. | Past | Accepting new patients |
Locations
325 Gellert Blvd
Daly City, CA 94015
Phone (650) 270-2394
750 Redwood Hwy Frontage Rd
Ste 1204
Mill Valley, CA 94941
Phone (415) 384-4778
830 Jefferson Ave
Ste M
Redwood City, CA 94063
Phone (650) 381-0616
170 Columbus Ave
Ste 110
San Francisco, CA 94133
Phone (415) 965-8050
3838 California St
Rm 111
San Francisco, CA 94118
Phone (415) 221-6476
2395 Lombard St
San Francisco, CA 94123
Phone (415) 640-5024
Interoperability endpoints
- john.martinez@guc.eclinicaldirectplus.com
- https://api.platform.athenahealth.com/10731/brand/1/csg/1/fhir/r4
- jmartinez376119@direct-ucsfmedicalcenter.org
- https://fhir4.healow.com/fhir/r4/EHFFAD/Endpoint/EHFFAD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1770523169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1003844507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956",
"telephone_number": "916-379-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 REDWOOD HWY FRONTAGE RD STE 1204",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412483",
"telephone_number": "415-384-4778",
"fax_number": "415-384-4779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CA",
"license": "A74529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.