Jose Martinez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G75595 Issued in CA

Practice address

1310 Hanna Ave
Ste 1
Corcoran, CA 93212-2314

Phone

(559) 992-3300

Fax

(559) 992-8162

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1023118668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305906",
            "telephone_number": "559-583-4617",
            "fax_number": "559-583-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HANNA AVE",
            "address_2": "STE 1",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932122314",
            "telephone_number": "559-992-3300",
            "fax_number": "559-992-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G75595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G755950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geri Lynn Mahaffey, NP
• Dawn Shanta Manuel, LVN
• Liza V Maravilla, LCSW
• Jessica Marquez, LCSW
• Danyelle Kyla Martinez, LCSW
• Kimberly Sue Matthews
• Rob Arthur Mayer, D.C.
• Perlita McGuinness
• William Joseph McGuinness, M.D.
• Eva Baranoff McKenzie, PH.D.

• Family Medicine Physician in Corcoran, CA
• Providers in Corcoran, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.