Individual provider Active NPI

Marti G Menez, M.D.

  • Pediatrics Physician
  • Lancaster, CA
National Provider Identifier
1386774594
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A48634 Issued in CA
Practice address
44900 60TH St W
Lancaster, CA 93536-7618
Phone
(661) 948-8581
Fax
(661) 945-8474
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A48634 CA Primary

Addresses

Primary practice location

44900 60TH St W
Lancaster, CA 93536-7618

Mailing address

44900 60TH St W
Lancaster, CA 93536-7618
Phone (661) 948-8581

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050930000812 CA Practitioner - Pediatric Medicine 8426083148 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48634CAMDOral and Maxillofacial Surgery (Dentist)
A48634CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jan 9, 2016 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles CurrentSince Jan 9, 2016 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325

335 E Avenue I
Lancaster, CA 93535
Phone (661) 471-4000

44900 60th St W
Lancaster, CA 93536
Phone (661) 945-8413

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386774594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44900 60TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935367618",
            "telephone_number": "661-948-8581",
            "fax_number": "661-945-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44900 60TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935367618",
            "telephone_number": "661-948-8581",
            "fax_number": "661-945-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENEZ",
        "first_name": "MARTI",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A48634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.