Martinez Medical Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A17556 Issued in CA

Legal business name

MARTINEZ MEDICAL CLINIC

Practice address

1150 N Hacienda Blvd
La Puente, CA 91744-2023

Phone

(626) 917-5281

Fax

(626) 917-5411

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Emil T Martinez, MD

Title

Owner

Phone

(626) 917-5281

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1285815092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N HACIENDA BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917442023",
            "telephone_number": "626-917-5281",
            "fax_number": "626-917-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N HACIENDA BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917442023",
            "telephone_number": "626-917-5281",
            "fax_number": "626-917-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "EMIL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-917-5281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A17556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A17556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Garcia Marino, PPS
• Alex Martel, D.M.D.
• Martha P Villarete, DDS, Inc
• Cynthia Martin
• Samantha Taylor Martin
• Alma Martinez
• Annmarie Martinez
• Arlene Martinez
• Debra Cordilia Martinez
• Monica Martinez, A.A. DEGREE

• Clinic/Center in La Puente, CA
• Providers in La Puente, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.