Dr Edgar Martinez DO Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR EDGAR MARTINEZ DO INC

Practice address

3512 E Florence Ave.
Suite 102 & 103
Huntington Park, CA 90255-5900

Phone

(323) 582-1180

Fax

(323) 582-8280

NPI assigned

Sep 29, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Edgar Martinez, DONPI 1336163294

Title

President

Phone

(323) 582-1180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edgar I Martinez, D.O.

  • General Practice Physician
  • Huntington Park, CA
  • NPI 1336163294
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1225752603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 E FLORENCE AVE.",
            "address_2": "SUITE 102 & 103",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555900",
            "telephone_number": "323-582-1180",
            "fax_number": "323-582-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 E FLORENCE AVE.",
            "address_2": "SUITE 102 & 103",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555900",
            "telephone_number": "323-582-1180",
            "fax_number": "323-582-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EDGAR MARTINEZ DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-582-1180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.