Active NPI
Gerardo Martinez Jr., C.M.T.
- Massage Therapist
- Palm Desert, CA
National Provider Identifier
1245653955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4668
- Practice address
- 44825 Las Palmas Ave Apt.1
Palm Desert, CA 92260 - Phone
- (760) 766-6366
- NPI assigned
- Jan 31, 2014
- Last updated
- Jan 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homeopath | 175L00000X | CA | ||
| Massage Therapist | 225700000X | 4668 | CA | Primary |
| Reflexologist | 173C00000X | CA |
Addresses
Primary practice location
44825 Las Palmas Ave Apt.1
Palm Desert, CA 92260
Mailing address
44825 Las Palmas Ave Apt.1
Palm Desert, CA 92260
Phone (760) 766-6366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4668 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1245653955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44825 LAS PALMAS AVE APT.1",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "92260",
"telephone_number": "760-766-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44825 LAS PALMAS AVE APT.1",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "92260",
"telephone_number": "760-766-6366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "GERARDO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "C.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-31",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "4668",
"primary": true
},
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.