Individual provider Active NPI

Linette Martinez, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1245352137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G82072 Issued in CA
Practice address
50 Lech Walesa
Tom Waddell Clinic
San Francisco, CA 94102-4506
Phone
(415) 355-7473
Fax
(415) 355-7404
NPI assigned
Apr 4, 2007
Sex
Female
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
Internal Medicine Physician 207R00000X G82072 CA Primary

Addresses

Primary practice location

50 Lech Walesa
Tom Waddell Clinic
San Francisco, CA 94102-4506

Mailing address

50 Lech Walesa
Tom Waddell Clinic
San Francisco, CA 94102-4506
Phone (415) 355-7473

Other identifiers 1

IdentifierTypeStateIssuer
054122OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

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

State licenses

LicenseStateTypeSpecialty
G82072CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Area Health Associates Current Accepting new patients

Locations

240 Shotwell St
San Francisco, CA 94110
Phone (415) 552-1013

1580 Valencia St
Ste 506
San Francisco, CA 94110
Phone (415) 641-6500

Organizations & group practices 1

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245352137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LECH WALESA",
            "address_2": "TOM WADDELL CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024506",
            "telephone_number": "415-355-7473",
            "fax_number": "415-355-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LECH WALESA",
            "address_2": "TOM WADDELL CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024506",
            "telephone_number": "415-355-7473",
            "fax_number": "415-355-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LINETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G82072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "054122",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.