Individual provider Active NPI

Jeremiah Chad Martinez, PA-C

  • Physician Assistant
  • Panorama City, CA
National Provider Identifier
1255458386
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53010 Issued in CA
Practice address
8727 Van Nuys Blvd Ste 105
Panorama City, CA 91402-2467
Phone
(818) 528-6949
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 53010 CA Primary

Addresses

Primary practice location

8727 Van Nuys Blvd Ste 105
Panorama City, CA 91402-2467

Mailing address

6609 Van Nuys Blvd # 201-a
Van Nuys, CA 91405-4618
Phone (818) 812-5410

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161214001621 CA Practitioner - Physician Assistant 2466732177 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Special Service for Groups IncGroup PAC ID 2769396886, 61 clinicians

Practice addresses (Care Compare)

1050 E Palmdale Blvd
Suite 211
Palmdale, CA 93550-4750
Phone (213) 620-5712

1968 W Adams Blvd
Suite 101And106
Los Angeles, CA 90018-3515
Phone (323) 731-3534

470 E 3Rd St
Suite C
Los Angeles, CA 90013-1630
Phone (213) 620-5712

515 Columbia Ave
Los Angeles, CA 90017-1209

520 S Lafayette Park PL
FL 3
Los Angeles, CA 90057-5400
Phone (213) 252-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53010CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Special Service for Groups, Inc. CurrentSince Dec 5, 2017 Accepting new patients
Telecare Corporation CurrentSince Jul 22, 2017 Accepting new patients
Telecare Corporation CurrentSince Jul 22, 2017 Accepting new patients
Alliant Mental Health, Inc CurrentSince Jul 9, 2025 Accepting new patients
Special Service for Groups, Inc. CurrentSince Dec 5, 2017 Accepting new patients
Center for Family Health and Education Inc Past Accepting new patients
Center for Family Health and Education Inc PastSince Jan 14, 2024 Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

905 E 8th St
Los Angeles, CA 90021
Phone (213) 553-1800

2020 Iowa Ave
Riverside, CA 92507
Phone (951) 291-4309

100 N Barranca St
Ste 708
West Covina, CA 91791
Phone (626) 714-2994

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1255458386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 VAN NUYS BLVD # 201-A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054618",
            "telephone_number": "818-812-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8727 VAN NUYS BLVD STE 105",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022467",
            "telephone_number": "818-528-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JEREMIAH",
        "middle_name": "CHAD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.