Individual provider Active NPI

Martin A. Bohorquez, M.D.

  • Anesthesiology Physician
  • Glendora, CA
National Provider Identifier
1073569307
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A75482 Issued in CA
Practice address
250 S Grand Ave
Glendora, CA 91741-4218
Phone
(909) 519-0063
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A75482 CA Primary

Addresses

Primary practice location

250 S Grand Ave
Glendora, CA 91741-4218

Mailing address

1317 S Diamond Bar Blvd Unit 4007
Diamond Bar, CA 91765-5600
Phone (909) 878-6665

Other practice location 1

1500 San Pablo St
USC University Hospital
Los Angeles, CA 90033-5313
Phone (323) 442-7400

Other identifiers 4

IdentifierTypeStateIssuer
00A754820OtherCABLUE SHIELD
00A754820328OtherCACALOPTIMA
00A754820MedicaidCA
P00048337OtherCARAILROAD MEDICARE

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
I20090515000091 CA Practitioner - Anesthesiology 8820147192 Reassigns benefits to 5 organizations
Practice locations: Glendora, CA

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of California, San Diego School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turiya Anesthesia of Citrus ValleyGroup PAC ID 8325571268, 19 clinicians

Practice addresses (Care Compare)

250 S Grand Ave
Glendora, CA 91741-4218
Phone (626) 963-8411

Hospital & facility affiliations

  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75482CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Turiya Anesthesia of Citrus Valley Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Pih Health Physicians Current Accepting new patients
Martin Bohorquez MD Inc Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Pih Health Physicians Anesthesiology CurrentSince Feb 1, 2023 Accepting new patients
Pih Health Physicians CurrentSince Feb 1, 2023 Accepting new patients
Premier Perioperative Physicians Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Uscan Anesthesiology Medical Group, Inc. Anesthesiology Past Accepting new patients

Locations

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

Organizations & group practices 8

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1073569307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 S DIAMOND BAR BLVD UNIT 4007",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917655600",
            "telephone_number": "909-878-6665",
            "fax_number": "909-595-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414218",
            "telephone_number": "909-519-0063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 San Pablo St",
            "address_2": "USC University Hospital",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335313",
            "country_code": "US",
            "telephone_number": "323-442-7400",
            "fax_number": "323-442-7411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHORQUEZ",
        "first_name": "MARTIN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A75482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A754820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA",
            "identifier": "00A754820328",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A754820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00048337",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.