Individual provider Active NPI

Terrin E Martin, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1295921229
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A99078 Issued in CA
Practice address
1411 N Detroit St
Unit 103
Los Angeles, CA 90046-4488
Phone
(310) 482-8550
NPI assigned
Sep 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A99078 CA Primary

Addresses

Primary practice location

1411 N Detroit St
Unit 103
Los Angeles, CA 90046-4488

Mailing address

1411 N Detroit St
Unit 103
Los Angeles, CA 90046-4488
Phone (310) 482-8550

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080603000370 CA Practitioner - Anesthesiology 2961572961 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Ohio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brotman Medical Anesthesia GroupGroup PAC ID 8123027547, 9 clinicians

Practice addresses (Care Compare)

16501 Ventura Blvd
Suite 103
Encino, CA 91436-2064
Phone (818) 907-1080

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
75.51
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A99078CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Anesthesia Group Inc CurrentSince Dec 1, 2021 Accepting new patients
HP Anesthesia Inc Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Brotman Medical Anesthesia Group Anesthesiology CurrentSince Apr 18, 2023 Accepting new patients
California Anesthesia Providers a Medical Corporation Anesthesiology Past Accepting new patients
Terrin E. Martin, M.D., a Medical Corp Anesthesiology PastSince Oct 1, 2007 Accepting new patients
Golden State Anesthesia Consultants, Inc. Anesthesiology Past Accepting new patients

Locations

450 N Roxbury Dr
Ste 600
Beverly Hills, CA 90210
Phone (310) 651-2050

9735 Wilshire Blvd
Ste 100
Beverly Hills, CA 90212
Phone (310) 601-3900

450 N Roxbury Dr
Ste 240
Beverly Hills, CA 90210
Phone (310) 651-2040

120 S Spalding Dr
Ste 115
Beverly Hills, CA 90212
Phone (310) 385-7755

8641 Wilshire Blvd
Ste 201
Beverly Hills, CA 90211
Phone (310) 289-8600

16501 Ventura Blvd
Ste 103
Encino, CA 91436
Phone (310) 659-6333

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1801 W Olympic Blvd
#2100
Pasadena, CA 91199

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1295921229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N DETROIT ST",
            "address_2": "UNIT 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464488",
            "telephone_number": "310-482-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N DETROIT ST",
            "address_2": "UNIT 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464488",
            "telephone_number": "310-482-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TERRIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A99078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.