Michael David Martinez Jr., PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1436 Goodrich Blvd
Commerce, CA 90022-5111

Phone

(323) 725-1337

NPI assigned

Jun 2, 2014

Last updated

Sep 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Apla Health and WellnessGroup PAC ID 4385875236, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Apla Health & Wellness

  dba APLA Health & Wellness Center - Baldwin Hills

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1639414139
  Medicare reassignment Care Compare group NPD
• Apla Health & Wellness

  dba APLA Health - Michael Gottlieb Health Center

  • Federally Qualified Health Center (FQHC)
  • West Hollywood, CA
  • NPI 1104688795
  NPD
• Apla Health & Wellness

  dba APLA Health - Olympic #310

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1790202968
  NPD
• Apla Health & Wellness

  dba APLA Health & Wellness - Long Beach Center

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1811367709
  NPD (past)

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1225440738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 GOODRICH BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900225111",
            "telephone_number": "323-725-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 GOODRICH BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900225111",
            "telephone_number": "323-725-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Martinez Jr.
• Dilia Martinez
• Edith Martinez
• Fernando Martinez, HAD
• Hannah Martinez
• Ramces Martinez
• Ruben Martinez Jr., MFTI
• Tina Martinez
• Zaira Martinez
• Leticia Mata

• Psychologist in Commerce, CA
• Providers in Commerce, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.