Ivan P Martinez, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A258660 Issued in CA

Practice address

500 S Anaheim Hills Rd
Ste 200
Anaheim Hills, CA 92807-4759

Phone

(714) 974-1717

Fax

(714) 974-9019

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivan P. Martinez, M.D. Inc.Group PAC ID 7113185646, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Primrose Home Health, Inc Home health agency, Burbank, CA, CCN 059106
• Acacia HH&P of Southern California, LLC Home health agency, Irvine, CA, CCN 559093
• Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069
• Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ivan P. Martinez, M.D. Inc.

  • Specialist
  • Anaheim, CA
  • NPI 1275800401
  Medicare reassignment Care Compare group NPD
• Orange County Global Medical Center, Inc

  dba Orange County Global Medical Center

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1982697678
  NPD (past)
• St Joseph Hospital of Orange

  dba Providence St. Joseph Hospital

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Acacia HH&P of Southern California, LLC

  • Home Health Agency
  • Fountain Valley, CA
  • NPI 1285096198
  Care Compare affiliation
• Primrose Home Health Inc

  • Home Health Agency
  • Valencia, CA
  • NPI 1508050931
  Care Compare affiliation
• St Joseph Hospital of Orange

  dba Providence St. Joseph Hospital

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216
  Care Compare affiliation
• St Jude Hospital Inc

  dba Providence St. Jude Medical Center

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  Care Compare affiliation
• St Jude Hospital Inc

  dba Providence St. Jude Medical Center

  • General Acute Care Hospital
  • Brea, CA
  • NPI 1891904942
  Care Compare affiliation
• St. Joseph Hospital of Orange

  dba Providence St. Joseph Hospital

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1558575746
  Care Compare affiliation

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1023014800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "STE 200",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928074759",
            "telephone_number": "714-974-1717",
            "fax_number": "714-974-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "STE 200",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928074759",
            "telephone_number": "714-974-1717",
            "fax_number": "714-974-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "IVAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A258660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Lullo, M.A., APCC
• Marigangaiah Mahadev, MD
• Marathon Medical Group Inc
• Rebecca Marcia Maravilla, OD
• Rebeca Martinez-Higareda, SLPA
• Maruko Orthodontics Inc
• Suzanne Renee Molera, B.A COMM. DISORDERS
• Taryl Lynn Nothern, NP
• Beau McKenzie Soares, D.D.S.
• Kevin Strachan, DDS

• Endocrinology, Diabetes & Metabolism Physician in Anaheim Hills, CA
• Providers in Anaheim Hills, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.