Carlos T J Martinez, DO Inc

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

20A9856 Issued in CA

Legal business name

CARLOS T J MARTINEZ, DO INC

Practice address

7777 Milliken Ave
Suite 310
Rancho Cucamonga, CA 91730-6780

Phone

(909) 944-3797

Fax

(909) 944-3914

NPI assigned

Mar 28, 2008

Last updated

Jun 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carlos T. J. Martinez, D.O.NPI 1649304650

Title

Physician

Phone

(909) 944-3797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Carlos Tomas Jorge Martinez, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Rancho Cucamonga, CA
  • NPI 1649304650
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1346412491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE",
            "address_2": "SUITE 310",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306780",
            "telephone_number": "909-944-3797",
            "fax_number": "909-944-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE",
            "address_2": "SUITE 310",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306780",
            "telephone_number": "909-944-3797",
            "fax_number": "909-944-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS T J MARTINEZ, DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "T. J.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "909-944-3797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A9856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.