Individual provider Active NPI

Martin H Straznicky, M.D.

  • Anesthesiology Physician
  • San Diego, CA
National Provider Identifier
1245250992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A92410 Issued in CA
Practice address
200 West Arbor Drive MC 0801
Ucsd Medical Center
San Diego, CA 92103-0801
Phone
(619) 543-5720
NPI assigned
Jul 19, 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 A92410 CA Primary

Addresses

Primary practice location

200 West Arbor Drive MC 0801
Ucsd Medical Center
San Diego, CA 92103-0801

Mailing address

350 K St
Apartment 406
San Diego, CA 92101-6975
Phone (619) 840-0603

Other identifiers 1

IdentifierTypeStateIssuer
00A924100MedicaidCA

Other names 1

  • Dr. Martin H Kennedy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants of Sacramento a Medical Group, Inc. Anesthesiology Past Accepting new patients
Regents of the University of California Past Accepting new patients
Nevada Anesthesiology Partners, LLP Anesthesiology Past Accepting new patients
Cardiovascular Anesthesia Consultants Anesthesiology Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245250992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 K ST",
            "address_2": "APARTMENT 406",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016975",
            "telephone_number": "619-840-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST ARBOR DRIVE MC 0801",
            "address_2": "UCSD MEDICAL CENTER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921030801",
            "telephone_number": "619-543-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAZNICKY",
        "first_name": "MARTIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A92410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A924100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTIN",
            "last_name": "KENNEDY",
            "middle_name": "H",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.