Active NPI
Mike T Martinez
- Orthotist
- Sacramento, CA
National Provider Identifier
1043353972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Legal business name
- MIKE T MARTINEZ
- Practice address
- 2222 Watt Ave
Ste C9
Sacramento, CA 95825-0581 - Phone
- (916) 488-1478
- Fax
- (916) 488-1807
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mike Martinez, CO
- Title
- President
- Phone
- (916) 488-1478
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
2222 Watt Ave
Ste C9
Sacramento, CA 95825-0581
Mailing address
2222 Watt Ave
Ste C9
Sacramento, CA 95825-0581
Phone (916) 488-1478
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XA0027980 | Medicaid | CA | |
| 0152576 | Other | CA | KAISER |
| C00027980 | Other | CA | BC |
Other names 1
- STREAMLINE ORTHOPEDIC
National Provider Directory
National Provider DirectoryLocations
2222 Watt Ave
Ste C9
Sacramento, CA 95825
Phone (916) 488-1478
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthotist
- Sacramento, CA
- NPI 1275704686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202774400000",
"number": "1043353972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 WATT AVE",
"address_2": "STE C9",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958250581",
"telephone_number": "916-488-1478",
"fax_number": "916-488-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 WATT AVE",
"address_2": "STE C9",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958250581",
"telephone_number": "916-488-1478",
"fax_number": "916-488-1807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIKE T MARTINEZ",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2008-02-12",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-488-1478",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CO"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XA0027980",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "0152576",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "C00027980",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "STREAMLINE ORTHOPEDIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.