NPIMap

Individual provider Active NPI

Genaro Martinez, M.D.

  • Internal Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1235157843
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A68325 Issued in CA
Practice address
2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone
(909) 881-4520
Fax
(909) 881-4528
NPI assigned
Jul 18, 2006
Last updated
Jan 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A68325 CA
Internal Medicine Physician 207R00000X A68325 CA Primary

Addresses

Primary practice location

2101 N Waterman Ave
San Bernardino, CA 92404-4836

Mailing address

5410 Maryland Way
Suite 300
Brentwood, TN 37027-5064
Phone (615) 377-5652

Other identifiers 2

IdentifierTypeStateIssuer
1235157843MedicaidCA
00A683250OtherCABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090106000198 CA Practitioner - HospitalistPractitioner - Interventional Pain ManagementPractitioner - Internal Medicine 6709798465 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of California, San Diego School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temecula Valley Hospitalist Medical Group IncGroup PAC ID 8224252630, 26 clinicians

Practice addresses (Care Compare)

31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Improvement activities
40
Cost
84.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68325CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temecula Valley Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Oct 26, 2016 Accepting new patients
Kayal Medical Group Inc. Internal Medicine CurrentSince Aug 25, 2024 Accepting new patients
Corona Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Jul 21, 2021 Accepting new patients
Healthcare Crossing Corporation Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Cogent Healthcare of California, PC Family Medicine Past Accepting new patients
Cogent Healthcare of California, PC Family Medicine Past Accepting new patients
Alertive Healthcare Medical Group PC Internal Medicine PastSince Jul 28, 2024 Accepting new patients
Graybill Medical Group Inc Family Medicine PastSince Feb 4, 1991 Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

39765 Date St
Ste 100
Murrieta, CA 92563
Phone (951) 279-0100

39765 Date St
Ste 102
Murrieta, CA 92563
Phone (951) 897-7665

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

960 W San Marcos Blvd
Ste 210
San Marcos, CA 92078
Phone (760) 736-8091

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: gmartinez182209@direct.llu.edu
  • FHIR API: https://api.platform.athenahealth.com/13982/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uni Care Hospice, Inc.Escondido, CA, CCN 751705 Hospice Contracted Managing Employee Oct 30, 2019
Eagle Glen Hospice CareTemecula, CA, CCN B31588 Hospice Contracted Managing Employee Jul 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1235157843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY",
            "address_2": "SUITE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275064",
            "telephone_number": "615-377-5652",
            "fax_number": "949-567-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044836",
            "telephone_number": "909-881-4520",
            "fax_number": "909-881-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GENARO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A68325",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A68325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235157843",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00A683250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.