Active NPI
Victor Martinez-Breners, CMT
- Massage Therapist
- Fresno, CA
National Provider Identifier
1013231158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M51
- Practice address
- 401 W Fallbrook Ave
Ste 105
Fresno, CA 93711-5833 - Phone
- (559) 647-5307
- NPI assigned
- Mar 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M51 | CA | Primary |
Addresses
Primary practice location
401 W Fallbrook Ave
Ste 105
Fresno, CA 93711-5833
Mailing address
401 W Fallbrook Ave
Ste 105
Fresno, CA 93711-5833
Phone (559) 647-5307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M51 | Other | CA | MASSAGE THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M51 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1013231158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W FALLBROOK AVE",
"address_2": "STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937115833",
"telephone_number": "559-647-5307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W FALLBROOK AVE",
"address_2": "STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937115833",
"telephone_number": "559-647-5307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-BRENERS",
"first_name": "VICTOR",
"name_prefix": "Mr.",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-18",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "M51",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY LICENSE",
"identifier": "M51",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.