Active NPI
Carnaghi V. Martin, M.D.
- Surgery Physician
- Lake Arrowhead, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A127474
- Practice address
- 29099 Hospital Rd Suite 210
Lake Arrowhead, CA 92352 - Phone
- (909) 436-3033
- NPI assigned
- May 12, 2010
- Last updated
- Sep 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A127474 | CA | Primary |
| Surgery Physician | 208600000X | TRN14682 | FL |
Addresses
Primary practice location
29099 Hospital Rd Suite 210
Lake Arrowhead, CA 92352
Mailing address
29101 Hospital Rd
Lake Arrowhead, CA 92352-9706
Phone (909) 336-3651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Wayne State University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samuel Mahelona Memorial Hospital
Practice addresses (Care Compare)
4643 Waimea Canyon Dr
Waimea, HI 96796
Phone (808) 338-8311
PO Box
Lake Arrowhead, CA 92352
PO Box
Waimea, HI 96796
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.39 of 100
- Quality
- 79.9
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A127474 | CA | MD | Surgery Physician |
| TRN14682 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino Mountains Community Hospital District | Current | Accepting new patients | |
| The Outer Banks Hospital Inc | Past | Accepting new patients | |
| San Bernardino Mountains Community Hospital District | Past | Accepting new patients |
Locations
2642 Palo Alto Way
Running Springs, CA 92382
Phone (909) 867-3641
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mountains Community Hospital
- Critical Access Hospital
- Lake Arrowhead, CA
- NPI 1245380799
-
dba Mountains Community Hospital Rural Health Clinic
- Rural Health Clinic/Center
- Lake Arrowhead, CA
- NPI 1528172541
-
- Multi-Specialty Clinic/Center
- Lihue, HI
- NPI 1376596643
-
dba Mountains Community Hospital
- Medicare Defined Swing Bed Hospital Unit
- Lake Arrowhead, CA
- NPI 1073663662
-
- Critical Access Hospital
- Nags Head, NC
- NPI 1053375253
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mountains Community Hospital
- Critical Access Hospital
- Lake Arrowhead, CA
- NPI 1245380799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535760000000",
"number": "1346568599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29101 HOSPITAL RD",
"city": "LAKE ARROWHEAD",
"state": "CA",
"postal_code": "923529706",
"telephone_number": "909-336-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29099 HOSPITAL RD SUITE 210",
"city": "LAKE ARROWHEAD",
"state": "CA",
"postal_code": "92352",
"telephone_number": "909-436-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CARNAGHI",
"middle_name": "V.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-12",
"last_updated": "2018-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A127474",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "TRN14682",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Arrowhead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2018; 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.