Individual provider Active NPI

Ruben Martinez

  • Anesthesiology Physician
  • Covina, CA
National Provider Identifier
1215962006
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A33544 Issued in CA
Practice address
210 W San Bernardino Rd
Covina, CA 91723-1515
Phone
(626) 331-7331
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 A33544 CA Primary

Addresses

Primary practice location

210 W San Bernardino Rd
Covina, CA 91723-1515

Mailing address

26816 Vista Ter
Lake Forest, CA 92630-8115
Phone (949) 588-2190

Other identifiers 1

IdentifierTypeStateIssuer
A335441MedicaidCA

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
I20071129000296 CA Practitioner - AnesthesiologyPractitioner - General PracticePractitioner - Interventional Pain ManagementPractitioner - Osteopathic Manipulative MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - Geriatric Medicine 1658460621 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Geriatric Medicine, Interventional Pain Management, Osteopathic Manipulative Medicine, Physical Medicine and Rehabilitation
Education
Other, 1976
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

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
69.82
Promoting interoperability
95
Improvement activities
40
Cost
67.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33544CAMDOptometrist
A33544CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Perioperative Physicians Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Ruben Martinez MD a Professional Medical Corporation CurrentSince Aug 18, 2024 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jan 20, 2025 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jan 20, 2025 Accepting new patients
Optimum Rehabilitation Services, Inc. Past Accepting new patients
Artis Woodward MD Inc Past Accepting new patients

Locations

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

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

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

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

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

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 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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215962006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26816 VISTA TER",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308115",
            "telephone_number": "949-588-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231515",
            "telephone_number": "626-331-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "RUBEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A33544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A335441",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.