Individual provider Active NPI

Brian Martinez, PA-C

  • Physician Assistant
  • Ventura, CA
National Provider Identifier
1083135776
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54602 Issued in CA
Practice address
100 N Brent St Ste 301
Ventura, CA 93003-2836
Phone
(805) 653-0101
Fax
(805) 641-0434
NPI assigned
Jul 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 54602 CA Primary

Addresses

Primary practice location

100 N Brent St Ste 301
Ventura, CA 93003-2836

Mailing address

1688 Harper Dr
Ventura, CA 93004-3035

Other practice location 1

1701 Solar Dr Ste 150
Oxnard, CA 93030-0138
Phone (805) 278-4020

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005001755 CA Practitioner - Physician Assistant 4385919075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Associates Medical GroupGroup PAC ID 6507763471, 13 clinicians

Practice addresses (Care Compare)

100 N Brent St
Suite 301
Ventura, CA 93003-2836
Phone (805) 653-0101

168 N Brent St
Suite 503
Ventura, CA 93003-2840
Phone (805) 653-0101

Hospital & facility affiliations

  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • Community Memorial Hospital - Ojai Hospital, Ojai, CA, CCN 051334
  • Ventura County Medical Center Hospital, Ventura, CA, CCN 050159

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54602CAMDGeneral Practice Dentistry

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1083135776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 HARPER DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930043035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST STE 301",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032836",
            "telephone_number": "805-653-0101",
            "fax_number": "805-641-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Solar Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930300138",
            "country_code": "US",
            "telephone_number": "805-278-4020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "BRIAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.