Jacob Nathanael Martinez, CFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

104266 Issued in OR

Practice address

3410 Merryvale Rd
Eugene, OR 97404-3870

Phone

(541) 556-9051

NPI assigned

Nov 5, 2008

Last updated

Nov 5, 2008By the provider in NPPES

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

Other names 1

• Jake Nathanael Martinez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prime Surgical Associates Inc.

  • Surgical Physician Assistant
  • Alpharetta, GA
  • NPI 1457403248

  Surgical Assistant

  NPD (past)

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1023262995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 MERRYVALE RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043870",
            "telephone_number": "541-556-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 MERRYVALE RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043870",
            "telephone_number": "541-556-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JACOB",
        "middle_name": "NATHANAEL",
        "name_prefix": "Mr.",
        "credential": "CFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "OR",
            "license": "104266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "MARTINEZ",
            "middle_name": "NATHANAEL",
            "credential": "CFA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Justin Martinez-Warren, MH COUNSELOR
• Angel Oscar Martinez
• Dominic Martinez
• Foster Martinez
• Heidi Jean Martinez, B.A.
• Jason Aaron Martinez
• Luis Martinez, LPC
• Patrianna Shanique Martinez, FNP-C
• Raymond Martinez, DC
• Colleen Eleanor Martinson

• Surgical Assistant in Eugene, OR
• Providers in Eugene, OR by specialty
• Surgical Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.