Individual provider Active NPI

Michele Lorraine Martinez, MD.

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1205939204
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A53286 Issued in CA
Practice address
10683 Magnolia Ave Ste B
Riverside, CA 92505-1893
Phone
(951) 785-0381
Fax
(951) 639-6024
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A53286 CA Primary

Addresses

Primary practice location

10683 Magnolia Ave Ste B
Riverside, CA 92505-1893

Mailing address

10683 Magnolia Ave Ste B
Riverside, CA 92505-1893
Phone (951) 785-0381

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
I20080611000720 CA Practitioner - Family Practice 2769553239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

437 N Euclid Ave
Ontario, CA 91762-3456

767 Villa Montes Cir
Corona, CA 92879-8568

9045 Haven Ave
Rancho Cucamonga, CA 91730-5427

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53286CAMDGeneral Practice Dentistry
A53286CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Medical Inc Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Unicare Community Health Center Inc CurrentSince May 27, 2025 Accepting new patients
Lawrence Y Lo MD Inc CurrentSince Aug 1, 2025 Accepting new patients
Unicare Community Health Center, Inc. CurrentSince May 27, 2025 Accepting new patients
Unicare Community Health Center Inc Current Accepting new patients

Locations

107 N McKinley St
Corona, CA 92879
Phone (951) 358-0141

400 Newport Center Dr
Ste 301
Newport Beach, CA 92660
Phone (949) 644-1300

1151 E Walnut St
Ontario, CA 91761
Phone (909) 467-0797

437 N Euclid Ave
Ontario, CA 91762
Phone (909) 749-1835

1501 E Holt Ave
Ste A
Pomona, CA 91767
Phone (909) 623-3600

5549 Van Buren Blvd
Riverside, CA 92503
Phone (951) 324-5901

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205939204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10683 MAGNOLIA AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051893",
            "telephone_number": "951-785-0381",
            "fax_number": "951-639-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10683 MAGNOLIA AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051893",
            "telephone_number": "951-785-0381",
            "fax_number": "951-639-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MICHELE",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A53286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.