Edgar I Martinez, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A6262 Issued in CA

Practice address

3512 E Florence Ave
Suite 102
Huntington Park, CA 90255-5900

Phone

(323) 582-1180

Fax

(323) 582-8280

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General PracticeAlso: Addiction Medicine, Family Practice, Geriatric Medicine, Interventional Pain Management

Education

Michigan State University College of Osteopathic Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinica del Socorro Medical Group,Inc.Group PAC ID 9032254404, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Clinica del Socorro Medical Group,Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1215263827

  General Practice

  Medicare reassignment Care Compare group NPD
• Dr Edgar Martinez DO Inc

  • Family Medicine Physician
  • Huntington Park, CA
  • NPI 1225752603
  Medicare reassignment NPD Authorized official
• Alta Los Angeles Hospital, Inc

  dba Los Angeles Hospital

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1114132685
  NPD (past)
• Manchester Memorial Hospital

  dba Manchester Memoril Hospital Psychiatric

  • Psychiatric Hospital Unit
  • Manchester, CT
  • NPI 1154364016
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1336163294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 E FLORENCE AVE",
            "address_2": "SUITE 102",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555900",
            "telephone_number": "323-582-1180",
            "fax_number": "323-582-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 E FLORENCE AVE",
            "address_2": "SUITE 102",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555900",
            "telephone_number": "323-582-1180",
            "fax_number": "323-582-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EDGAR",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A6262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX62622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Martin
• Billy Roger Martin
• James Henry Martin
• Alma Martinez-Villagomez
• Ashley Rebecca Martinez, FNP
• Elizabeth A Martinez, PA
• Leyhdit Martinez
• Lizeth Martinez
• Maria S Martinez
• Robert Martinez

• General Practice Physician in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.

Verify at the official NPI Registry.