Active NPI
Jose Daniel Martinez-Gamba, MD
- Child & Adolescent Psychiatry Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- DR0052975
- Practice address
- 1795 Jet Wing Dr
Colorado Springs, CO 80916-2332 - Phone
- (719) 572-6100
- Fax
- (719) 572-6186
- NPI assigned
- Nov 8, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | DR0052975 | CO | Primary |
Addresses
Primary practice location
1795 Jet Wing Dr
Colorado Springs, CO 80916-2332
Mailing address
1795 Jet Wing Dr
Colorado Springs, CO 80916-2332
Phone (719) 572-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 S Parkside Dr
Colorado Springs, CO 80910-3130
Phone (719) 572-6100
179 S Parkside Dr
Colorado Springs, CO 80910-3130
Phone (719) 572-6100
1795 Jet Wing Dr
Colorado Springs, CO 80916-2332
Phone (719) 572-6100
6208 Lehman Dr
Colorado Springs, CO 80918-8408
Phone (719) 572-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversus Health Inc | Current | Accepting new patients | |
| Diversus Health Inc | Current | Accepting new patients | |
| Diversus Health Inc | Current | Accepting new patients |
Locations
460 County Road 43
Ste 7
Bailey, CO 80421
Phone (303) 838-5013
328 10th St
Calhan, CO 80808
179 S Parkside Dr
Colorado Springs, CO 80910
Phone (719) 572-6300
115 S Parkside Dr
Colorado Springs, CO 80910
Phone (719) 572-6340
413 Security Blvd
Colorado Springs, CO 80911
220 Ruskin Dr
Colorado Springs, CO 80910
Phone (719) 572-6150
6208 Lehman Dr
Colorado Springs, CO 80918
Phone (719) 572-6133
1795 Jet Wing Dr
Colorado Springs, CO 80916
Phone (719) 572-6111
875 W Moreno Ave
Colorado Springs, CO 80905
Phone (719) 572-6200
18401 Highway 24
Ste 119
Woodland Park, CO 80863
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colorado Springs, CO
- NPI 1043260243
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairplay, CO
- NPI 1174988851
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colorado Springs, CO
- NPI 1295269561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1285935262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1795 JET WING DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809162332",
"telephone_number": "719-572-6100",
"fax_number": "719-572-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1795 JET WING DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809162332",
"telephone_number": "719-572-6100",
"fax_number": "719-572-6186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-GAMBA",
"first_name": "JOSE",
"middle_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-08",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CO",
"license": "DR0052975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.