Individual provider Active NPI

Luis Martinez, M.D.

  • Adult Medicine Physician
  • Fresno, CA
National Provider Identifier
1134423684
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A118831 Issued in CA
Practice address
560 E Herndon Ave # 201
Fresno, CA 93720-2907
Phone
(559) 437-7380
Fax
(559) 437-7162
NPI assigned
Dec 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X A118831 CA Primary

Addresses

Primary practice location

560 E Herndon Ave # 201
Fresno, CA 93720-2907

Mailing address

PO Box 28949
Fresno, CA 93729-8949
Phone (559) 228-5444

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
I20130812000335 CA Practitioner - Family Practice 2961644588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Foundation Medical GroupGroup PAC ID 0345406294, 282 clinicians

Practice addresses (Care Compare)

2335 E Kashian LN
Fresno, CA 93701-2234

560 E Herndon Ave
Suite 201
Fresno, CA 93720-2907
Phone (559) 437-7311

7355 N Palm Ave
Fresno, CA 93711-5770

Hospital & facility affiliations

  • Community Home Care Home health agency, Fresno, CA, CCN 057248
  • Omnia Healthcare, LLC Home health agency, Clovis, CA, CCN 059683
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Aug 5, 2013 Accepting new patients
Community Foundation Medical Group CurrentSince Aug 5, 2013 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Oakhurst Emergency Medicine Group Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

1570 E Herndon Ave
Fresno, CA 93720
Phone (559) 437-7300

560 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 437-7311

48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711

Organizations & group practices 5

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": "1293321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1134423684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28949",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298949",
            "telephone_number": "559-228-5444",
            "fax_number": "559-224-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 E HERNDON AVE # 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202907",
            "telephone_number": "559-437-7380",
            "fax_number": "559-437-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-26",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A118831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.