NPIMap

Individual provider Active NPI

Martin L Fishman, M.D.

  • Ophthalmology Physician
  • Los Gatos, CA
National Provider Identifier
1205875820
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G26839 Issued in CA
Practice address
431 Monterey Ave
Suite 3
Los Gatos, CA 95030-5319
Phone
(408) 354-9510
Fax
(408) 395-1610
NPI assigned
Jun 6, 2006
Last updated
Nov 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G26839 CA Primary

Addresses

Primary practice location

431 Monterey Ave
Suite 3
Los Gatos, CA 95030-5319

Mailing address

10300 S de Anza Blvd
Cupertino, CA 95014-3030
Phone (408) 252-7100

Other identifiers 1

IdentifierTypeStateIssuer
00G268390MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080117000774 CA Practitioner - Ophthalmology 3375557226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Eye Physicians a Medical CorporationGroup PAC ID 2961459094, 15 clinicians

Practice addresses (Care Compare)

431 Monterey Ave
Suite 3
Los Gatos, CA 95030-5319
Phone (408) 354-9510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.11 of 100Reported as group
Quality
88.99
Improvement activities
40
Cost
71.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Eye Physicians, a Medical Corporation Ophthalmology CurrentSince Jan 1, 2003 Accepting new patients
Spectrum Eye Physicians, a Medical Corporation Ophthalmology CurrentSince Jan 1, 2003 Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Hospital Past Accepting new patients
Stanford Health Care Past Accepting new patients

Locations

10300 S De Anza Blvd
Cupertino, CA 95014
Phone (408) 252-7310

10300 S De Anza Blvd
Ste A
Cupertino, CA 95014
Phone (408) 253-3083

431 Monterey Ave
Ste 3
Los Gatos, CA 95030
Phone (408) 354-9510

1663 Dominican Way
Ste 212
Santa Cruz, CA 95065
Phone (831) 226-2636

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mfishman6620@icare.elcaminohospital.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1205875820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 S DE ANZA BLVD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143030",
            "telephone_number": "408-252-7100",
            "fax_number": "408-257-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MONTEREY AVE",
            "address_2": "SUITE 3",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305319",
            "telephone_number": "408-354-9510",
            "fax_number": "408-395-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "MARTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G26839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G268390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.