Individual provider Active NPI

David Martins, GENERAL INTERNIST

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1104953074
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A72143 Issued in CA
Practice address
3834 S Western Ave
Los Angeles, CA 90062-1104
Phone
(323) 730-1920
Fax
(323) 730-9777
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A72143 CA Primary

Addresses

Primary practice location

3834 S Western Ave
Los Angeles, CA 90062-1104

Mailing address

3834 S Western Ave
Los Angeles, CA 90062-1104
Phone (323) 730-1920

Other identifiers 1

IdentifierTypeStateIssuer
A62069OtherCASTATE LICENSE

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
I20160503001353 CA Practitioner - Internal Medicine 9335036763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3834 S Western Ave
Los Angeles, CA 90062-1104
Phone (323) 730-1920

Hospital & facility affiliations

  • Med Care Plus Home Health Inc Home health agency, Pasadena, CA, CCN 058155
  • American Eagle Home Health Care, Inc. Home health agency, Pasadena, CA, CCN 753169
  • Care Dimensions of the Desert Home health agency, Palm Desert, CA, CCN 059697
  • Post Acute Home Health Agency Home health agency, Riverside, CA, CCN 757225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62069CAMDDentist
A72143CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T H E Clinic Inc CurrentSince Mar 28, 2016 Accepting new patients

Locations

10223 Firmona Ave
Inglewood, CA 90304
Phone (310) 695-4017

10321 Hawthorne Blvd
Inglewood, CA 90304
Phone (323) 730-1920

3834 S Western Ave
Los Angeles, CA 90062
Phone (323) 730-1920

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: david.martins@theci.eclinicaldirectplus.com

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 4

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104953074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900621104",
            "telephone_number": "323-730-1920",
            "fax_number": "323-730-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900621104",
            "telephone_number": "323-730-1920",
            "fax_number": "323-730-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINS",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "GENERAL INTERNIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A72143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A62069",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.