Individual provider Active NPI

John Michael Martinez, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Mill Valley, CA
National Provider Identifier
1003844507
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A74529 Issued in CA
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

Updated by the provider on Nov 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050126000571 CA Practitioner - Family Practice 0547210692 Reassigns benefits to 1 organization

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
UCSF Health Medical FoundationGroup PAC ID 9436239878, 65 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
A74529CAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Health Medical Foundation CurrentSince Dec 6, 2024 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

  • Direct secure messaging: john.martinez@guc.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/10731/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jmartinez376119@direct-ucsfmedicalcenter.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.