Organization Active NPI

Mike T Martinez

  • Orthotist
  • Sacramento, CA
National Provider Identifier
1043353972
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
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

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Mr. Mike Martinez, CONPI 1275704686
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)CodeLicenseStatePrimary
OrthotistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
XA0027980MedicaidCA
0152576OtherCAKAISER
C00027980OtherCABC

Other names 1

  • STREAMLINE ORTHOPEDIC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.