Active NPI
Marcos Martinez III, PSY.D.
- Clinical Psychologist
- Whittier, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 24227
- Practice address
- 9829 Carmenita Rd
Suite # H
Whittier, CA 90605-3229 - Phone
- (562) 907-7429
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 24227 | CA | Primary |
Addresses
Primary practice location
9829 Carmenita Rd
Suite # H
Whittier, CA 90605-3229
Mailing address
1102 E Elgenia Ave
West Covina, CA 91790-1320
Phone (714) 318-3532
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8710 Monroe CT
Suite 150
Rancho Cucamonga, CA 91730-4885
Phone (909) 941-4870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 24227 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Psychiatric Medical Group, Inc. | Current | Accepting new patients | |
| Inland Psychiatric Medical Group, Inc. | Clinical | Current | Accepting new patients |
| Inland Psychiatric Medical Group, Inc. | Current | Accepting new patients |
Locations
540 W Baseline Rd
Ste 3
Claremont, CA 91711
Phone (909) 542-0633
24432 Muirlands Blvd
Ste 131
Lake Forest, CA 92630
Phone (714) 520-3000
8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870
1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Redlands, CA
- NPI 1275824369
-
- Psychiatry Physician
- Redlands, CA
- NPI 1336977990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1235141102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 E ELGENIA AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917901320",
"telephone_number": "714-318-3532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9829 CARMENITA RD",
"address_2": "SUITE # H",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906053229",
"telephone_number": "562-907-7429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MARCOS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 24227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.