Active NPI
Martin J Backman MD Medical Corporation
- Neurology Physician
- Fountain Valley, CA
National Provider Identifier
1275949638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A44638
- Legal business name
- MARTIN J BACKMAN MD MEDICAL CORPORATION
- Practice address
- 11180 Warner Ave Ste 259
Fountain Valley, CA 92708-7516 - Phone
- (714) 540-1840
- Fax
- (714) 540-2319
- NPI assigned
- Jul 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin J Backman, M.D.
- Title
- Owner
- Phone
- (714) 540-1840
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A44638 | CA | Primary |
Addresses
Primary practice location
11180 Warner Ave Ste 259
Fountain Valley, CA 92708-7516
Mailing address
PO Box 1449
Brea, CA 92822-1449
Phone (714) 996-1633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699738385 | Other | INDIV NPI | |
| A44638 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2414 S Fairview St
Ste 110
Santa Ana, CA 92704
Phone (714) 241-8624
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Santa Ana, CA
- NPI 1699738385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755043200000",
"number": "1275949638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1449",
"city": "BREA",
"state": "CA",
"postal_code": "928221449",
"telephone_number": "714-996-1633",
"fax_number": "714-996-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11180 WARNER AVE STE 259",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087516",
"telephone_number": "714-540-1840",
"fax_number": "714-540-2319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN J BACKMAN MD MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-07",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A",
"authorized_official_last_name": "BACKMAN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-540-1840",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A44638",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIV NPI",
"identifier": "1699738385",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A44638",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.