Active NPI
David Martinez
- Land Ambulance
- San Antonio, TX
National Provider Identifier
1124352711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1000323
- Practice address
- 5504 Bandera Rd Ste 617
San Antonio, TX 78238-1947 - Phone
- (210) 792-4410
- Fax
- (210) 647-8009
- NPI assigned
- Sep 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1000323 | TX | |
| Land Ambulance | 3416L0300X | 1000323 | TX | Primary |
Addresses
Primary practice location
5504 Bandera Rd Ste 617
San Antonio, TX 78238-1947
Mailing address
PO Box 40096
San Antonio, TX 78229-1096
Phone (210) 792-4410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000323 | TX | MD | Land Ambulance |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1124352711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40096",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782291096",
"telephone_number": "210-792-4410",
"fax_number": "210-647-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5504 BANDERA RD STE 617",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782381947",
"telephone_number": "210-792-4410",
"fax_number": "210-647-8009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-29",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "1000323",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "1000323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.