Justin Anthony Martinez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2022-0121 Issued in NM

Practice address

717 Encino PL NE Ste 12
Albuquerque, NM 87102-2638

Phone

(866) 606-3867

NPI assigned

Feb 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Justin A Martinez Other name

Medicare fee-for-service enrollment

Enrolled in NM, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rocky Mountain Clinics LLCGroup PAC ID 5597136218, shared by 2 NPIs, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations (25 of 35)

Interoperability endpoints

• Direct secure messaging: justin.martinez.1@19212.direct.athenahealth.com

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.

• Southwest Care Center

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
  • NPI 1871602698
  Medicare reassignment NPD
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Fort Collins, CO
  • NPI 1295450294
  Medicare reassignment NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Farmington, NM
  • NPI 1285350066
  Medicare reassignment
• Rocky Mountain Clinics, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Taos, NM
  • NPI 1609637909
  NPD
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Durango, CO
  • NPI 1245956143
  NPD
• Rocky Mountain Clinics, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Alamosa, CO
  • NPI 1285468546
  NPD
• Front Range Clinic Inc.

  • Addiction Medicine (Family Medicine) Physician
  • Colorado Springs, CO
  • NPI 1184210643
  NPD (past)
• Premier Pain Management LLC

  • Family Medicine Physician
  • Highlands Ranch, CO
  • NPI 1366212292
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Northglenn, CO
  • NPI 1205552254
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Pueblo, CO
  • NPI 1295451185
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Englewood, CO
  • NPI 1386360212
  NPD (past)
• Rocky Mountain Clinics LLC

  • Family Medicine Physician
  • Cortez, CO
  • NPI 1417651035
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1013663111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL LOOP NE STE 209",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092128",
            "telephone_number": "505-848-3773",
            "fax_number": "505-848-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE STE 12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022638",
            "telephone_number": "866-606-3867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 E Elizabeth St Ste G2",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805244044",
            "country_code": "US",
            "telephone_number": "970-493-9193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JUSTIN",
        "middle_name": "ANTHONY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-28",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0009075",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2022-0121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTIN",
            "last_name": "MARTINEZ",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joseph Michael Martinez, B.C.-HIS
• Juan Adrian Martinez, PT
• Judy Martinez, SLP
• Julio Martinez
• Justin Angelo Martinez, PA-C
• Justina Francine Martinez
• Justine Martinez
• Kara Dawn Martinez, MD
• Katherine E Martinez, FIS II
• Kelley P. Martinez, CFNP

• Physician Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.

Verify at the official NPI Registry.