Individual provider Active NPI

Wayne Hamilton Martin, M.D.

  • Ophthalmology Physician
  • Diamond Bar, CA
National Provider Identifier
1033293261
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G56034 Issued in CA
Practice address
1111 Grand Ave
Suite a
Diamond Bar, CA 91765-4171
Phone
(909) 860-6768
Fax
(909) 860-4224
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G56034 CA Primary

Addresses

Primary practice location

1111 Grand Ave
Suite a
Diamond Bar, CA 91765-4171

Mailing address

1111 Grand Ave
Suite a
Diamond Bar, CA 91765-4171
Phone (909) 860-6768

Other identifiers 1

IdentifierTypeStateIssuer
00G560342MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040413000971 CA Practitioner - OphthalmologyPractitioner - General Surgery 9133012446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Howard University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne H Martin MD IncGroup PAC ID 0042113375, 3 clinicians

Practice addresses (Care Compare)

1111 Grand Ave
Suite a
Diamond Bar, CA 91765-2230
Phone (909) 860-6768

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
88.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56034CAMDGeneral Practice Dentistry
G56034CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne H. Martin, M.D., Inc. Ophthalmology CurrentSince Nov 1, 2001 Accepting new patients
FMC 26, PC Current Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
San Dimas Community Hospital, Inc. Ophthalmology Past Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Pomona Valley Hospital Medical Center Ophthalmology Past Accepting new patients

Locations

5343 Riverside Dr
Chino, CA 91710
Phone (909) 364-0308

1111 Grand Ave
Ste A
Diamond Bar, CA 91765
Phone (909) 860-6768

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: wmartin@wmartin.intellechartdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1033293261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GRAND AVE",
            "address_2": "SUITE A",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654171",
            "telephone_number": "909-860-6768",
            "fax_number": "909-860-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GRAND AVE",
            "address_2": "SUITE A",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654171",
            "telephone_number": "909-860-6768",
            "fax_number": "909-860-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WAYNE",
        "middle_name": "HAMILTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G56034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G560342",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

Verify at the official NPI Registry.