Active NPI
Jose Angel Martinez Jr., PA-C
- Physician Assistant
- Canyon Lake, TX
National Provider Identifier
1033287107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- P01570
- Practice address
- 1395 Sattler Rd Ste 6
Canyon Lake, TX 78132-2296 - Phone
- (830) 964-5575
- Fax
- (830) 964-2294
- NPI assigned
- Nov 30, 2006
- Last updated
- Apr 7, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | P01570 | TX | Primary |
Addresses
Primary practice location
1395 Sattler Rd Ste 6
Canyon Lake, TX 78132-2296
Mailing address
1395 Sattler Road, #6
Canyon Lake, TX 78133
Phone (830) 964-5575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6098 FM
Suite 311
Spring Branch, TX 78070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P01570 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humberto R. Bruschetta, M.D., P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Kingsville, TX
- NPI 1437346228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1033287107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 SATTLER ROAD, #6",
"city": "CANYON LAKE",
"state": "TX",
"postal_code": "78133",
"telephone_number": "830-964-5575",
"fax_number": "830-964-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 SATTLER RD STE 6",
"city": "CANYON LAKE",
"state": "TX",
"postal_code": "781322296",
"telephone_number": "830-964-5575",
"fax_number": "830-964-2294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JOSE",
"middle_name": "ANGEL",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "P01570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canyon Lake, TX
- Melanie D Little, LMSW, LCDC
- Terry Lynn Lively, CPCP
- Jo Ann Luker, LPC
- Lutheran Social Services of the South, Inc. (New Life Children's Treatment Center)
- Tanya Susette Martinez-Cardenas
- Kelvin Drew McCoy, LCSW
- Yadira Medina-Torres, SLP
- Melton Chiropractic,PLLC (The Melton Clinic)
- Lorena Mijares Martinez
- Cynthia Marie Millford
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.