Marco a. Martinez, M.D. Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A54076 Issued in CA

Legal business name

MARCO A. MARTINEZ, M.D. INC

Practice address

4566 Florence Ave
Suite #5
Cudahy, CA 90201-4345

Phone

(323) 771-7466

Fax

(323) 771-4920

NPI assigned

May 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Marco A Martinez, M.D.NPI 1700924909

Title

M.D.

Phone

(323) 771-7466

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marco A. Martinez Rivera Other name

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marco A Martinez, M.D.

  • Nephrology Physician
  • Cudahy, CA
  • NPI 1700924909

  CA, Internal Medicine

  Medicare reassignment NPD Authorized official

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1134447089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 FLORENCE AVE",
            "address_2": "SUITE # 5",
            "city": "CUDAHY",
            "state": "CA",
            "postal_code": "902014345",
            "telephone_number": "323-771-7466",
            "fax_number": "323-771-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 FLORENCE AVE",
            "address_2": "SUITE #5",
            "city": "CUDAHY",
            "state": "CA",
            "postal_code": "902014345",
            "telephone_number": "323-771-7466",
            "fax_number": "323-771-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCO A. MARTINEZ, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "323-771-7466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A540761",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marco A. Martinez Rivera",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshlynn Marie Lopez
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• Victoria Ann Lovato
• Jazmin Luna
• Marco A Martinez, M.D.
• Paula Celeste McAlpin, NP
• Tiffany Merrill, MSW, PPS, ASW
• Misinko Inc
• Pratish Mistry

• All providers in Cudahy, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.