Kenneth P Martinez MD a Medical Corp

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

KENNETH P MARTINEZ MD A MEDICAL CORP

Doing business as

Neurology & Pain Specialty Center

Practice address

5 Journey Ste 210
Aliso Viejo, CA 92656-5332

Phone

(949) 305-7122

Fax

(949) 305-7160

NPI assigned

Jun 21, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Patrick Martinez, MDNPI 1093825259

Title

Neurologist

Phone

(949) 305-7122

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NEUROLOGY & PAIN SPECIALTY CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: kennethmartinez@kpmmd.allscriptsdirect.net

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Patrick Martinez, M.D.

  • Neurology Physician
  • Aliso Viejo, CA
  • NPI 1093825259
  Medicare reassignment NPD Authorized official
• Meagan Alexandra Allard, PA

  • Physician Assistant
  • Costa Mesa, CA
  • NPI 1053884916
  Medicare reassignment
• Gregory Clifford Nelson, P.A.

  • Physician Assistant
  • Travis AFB, CA
  • NPI 1396142311
  Medicare reassignment

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255537957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JOURNEY",
            "address_2": "SUITE 210",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565336",
            "telephone_number": "949-305-7122",
            "fax_number": "949-305-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JOURNEY STE 210",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565332",
            "telephone_number": "949-305-7122",
            "fax_number": "949-305-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH P MARTINEZ MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "949-305-7122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A66709",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEUROLOGY & PAIN SPECIALTY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deeba Freshta Kazempoor, FNP
• Kempff Speech Pathology, Professional Corporation (Salt and Sun Speech Therapy)
• Kara M Kempff, MS CCC SLP
• Kennedy Chiropractic Health and Wellness Center Inc
• Kris K Kennedy, D.C.
• Kenneth Q Hoang DC a Chiropractic Corporation (Grannis Chiropractic Clinic)
• Elizah D Khan, LMT
• Salman Khanaki, D.C.
• Sina Khaneki, M.D.
• Michael Cong Kieu

• Neurology Physician in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.