Active NPI
Martin Roberto Goyenechea, MD
- Body Imaging Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- A111722
- Practice address
- 101 The City Dr S
Orange, CA 92868-3201 - Phone
- (714) 880-7812
- NPI assigned
- Jun 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | A111722 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | A111722 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | ME126418 | FL |
Addresses
Primary practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986
Other practice location 1
1400 NW 12th Ave
Miami, FL 33136-1003
Phone (305) 243-5512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A1117220 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
Hospital & facility affiliations
- Uci Health-Orange
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A111722 | CA | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Outpatient Services Inc | Body Imaging | Current | Accepting new patients |
| Baptist Outpatient Services Inc | Current | Accepting new patients | |
| University of Miami Hospital and Clinics | Past | Accepting new patients | |
| Cedars Healthcare Group, LTD. | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Locations
6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020
8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575
8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200
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.
-
- Diagnostic Radiology Physician
- Orange, CA
- NPI 1346298528
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1437127529
Body Imaging
-
- Home Infusion Therapy Pharmacy
- Miami Lakes, FL
- NPI 1316662299
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
-
- General Acute Care Hospital
- Miami, FL
- NPI 1477509446
-
- Special Hospital
- Miami, FL
- NPI 1679660617
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1104146026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S MANCHESTER AVE STE 300",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683219",
"telephone_number": "714-456-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-880-7812"
}
],
"practiceLocations": [
{
"address_1": "1400 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361003",
"country_code": "US",
"telephone_number": "305-243-5512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOYENECHEA",
"first_name": "MARTIN",
"middle_name": "ROBERTO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-02",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": "A111722",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A111722",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME126418",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0A1117220",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.