Organization Active NPI

Richard Martin, M.D. Rehabilitative and Restorative Medicine Inc.

  • Rehabilitation Practitioner
  • Arroyo Grande, CA
National Provider Identifier
1316225246
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
G83947 Issued in CA
Legal business name
RICHARD MARTIN, M.D. REHABILITATIVE AND RESTORATIVE MEDICINE INC.
Practice address
880 Oak Park Blvd
Suite 202
Arroyo Grande, CA 93420-1821
Phone
(805) 459-2508
Fax
(805) 473-6516
NPI assigned
Jul 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Dr. Richard James Martin, M.D.NPI 1922023126
Title
Owner
Phone
(805) 459-2508

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)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X G83947 CA Primary

Addresses

Primary practice location

880 Oak Park Blvd
Suite 202
Arroyo Grande, CA 93420-1821

Mailing address

880 Oak Park Blvd
Suite 202
Arroyo Grande, CA 93420-1821
Phone (805) 459-2508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130403000188 CA Part B Supplier - Clinic/Group Practice 4486899093 Receives reassigned benefits from 1 practitioner
Practice locations: Arroyo Grande, CA

National Provider Directory

National Provider Directory

Locations

880 Oak Park Blvd
Ste 202
Arroyo Grande, CA 93420
Phone (805) 473-6510

260 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 459-2508

865 Aerovista Pl
Ste 120
Sn Luis Obisp, CA 93401
Phone (805) 459-2508

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1316225246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 OAK PARK BLVD",
            "address_2": "SUITE 202",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201821",
            "telephone_number": "805-459-2508",
            "fax_number": "805-473-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 OAK PARK BLVD",
            "address_2": "SUITE 202",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201821",
            "telephone_number": "805-459-2508",
            "fax_number": "805-473-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD MARTIN, M.D. REHABILITATIVE AND RESTORATIVE MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-459-2508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "G83947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.

Verify at the official NPI Registry.