Individual provider Active NPI

Gerardo R Martinez, MD

  • Anesthesiology Physician
  • Beverly Hills, CA
National Provider Identifier
1164535233
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A87709 Issued in CA
Practice address
8670 Wilshire Blvd Ste 300
Beverly Hills, CA 90211-2930
Phone
(310) 275-1646
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A87709 CA Primary

Addresses

Primary practice location

8670 Wilshire Blvd Ste 300
Beverly Hills, CA 90211-2930

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (800) 883-7243

Other identifiers 1

IdentifierTypeStateIssuer
00A877090MedicaidCA

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
I20050429000815 CA Practitioner - AnesthesiologyPractitioner - General PracticePractitioner - General SurgeryPractitioner - Family Practice 6103739875 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Family Practice, General Practice, General Surgery
Education
University of New Mexico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Memorial Medical CenterGroup PAC ID 4486622362, 68 clinicians

Practice addresses (Care Compare)

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone 323268500034066

Hospital & facility affiliations

  • Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Adventist Medical Center CurrentSince Jan 20, 2025 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jan 20, 2025 Accepting new patients
Consultants for Anesthesia & Management of Pain Anesthesiology CurrentSince Mar 5, 2011 Accepting new patients
Olympic Anesthesia Partnership Anesthesiology CurrentSince Oct 1, 2005 Accepting new patients
White Memorial Medical Center CurrentSince Jan 24, 2025 Accepting new patients
Gerardo R Martinez MD PA Inc Anesthesiology Current Accepting new patients

Locations

9001 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 275-1646

8670 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 275-1646

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

210 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 347-1000

Organizations & group practices 6

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 1

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1164535233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "800-883-7243",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 WILSHIRE BLVD STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112930",
            "telephone_number": "310-275-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GERARDO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A87709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A877090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.