Active NPI
Robert J. Martin, Jr., M.D., Inc.
- Anesthesiology Physician
- Oxnard, CA
National Provider Identifier
1306879937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G57707
- Legal business name
- ROBERT J. MARTIN, JR., M.D., INC.
- Practice address
- 1600 N Rose Ave
Oxnard, CA 93030-3722 - Phone
- (310) 440-3131
- NPI assigned
- Jul 8, 2006
- Last updated
- Jul 25, 2008
- 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
- Mr. Robert J. Martin Jr., M.D.
- Title
- Owner
- Phone
- (310) 471-5852
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G57707 | CA | Primary |
Addresses
Primary practice location
1600 N Rose Ave
Oxnard, CA 93030-3722
Mailing address
11999 San Vicente Blvd
#440
Los Angeles, CA 90049-5131
Phone (310) 440-3131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0050083640 | Other | CA | RAILROAD MEDICARE |
| 00G577070 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- Oxnard, CA
- NPI 1104841535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216944000000",
"number": "1306879937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11999 SAN VICENTE BLVD",
"address_2": "#440",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495131",
"telephone_number": "310-440-3131",
"fax_number": "310-471-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N ROSE AVE",
"city": "OXNARD",
"state": "CA",
"postal_code": "930303722",
"telephone_number": "310-440-3131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J. MARTIN, JR., M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2008-07-25",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-471-5852",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "G57707",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "0050083640",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G577070",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.