NPIMap

Organization Active NPI

Lene V.M. Martinez, M.D.

  • Specialist
  • Fremont, CA
National Provider Identifier
1407868870
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A-29347 Issued in CA
Legal business name
LENE V.M. MARTINEZ, M.D.
Practice address
2287 Mowry Ave
Suite B
Fremont, CA 94538-1622
Phone
(510) 818-9100
Fax
(510) 818-9901
NPI assigned
Aug 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lene Vidola Mission Martinez, M.D.
Title
Sole Proprietor
Phone
(510) 818-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A-29347 CA Primary

Addresses

Primary practice location

2287 Mowry Ave
Suite B
Fremont, CA 94538-1622

Mailing address

2287 Mowry Ave
Suite B
Fremont, CA 94538-1622
Phone (510) 818-9100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407868870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2287 MOWRY AVE",
            "address_2": "SUITE B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381622",
            "telephone_number": "510-818-9100",
            "fax_number": "510-818-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2287 MOWRY AVE",
            "address_2": "SUITE B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381622",
            "telephone_number": "510-818-9100",
            "fax_number": "510-818-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENE V.M. MARTINEZ, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LENE",
        "authorized_official_middle_name": "VIDOLA MISSION",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "510-818-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A-29347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.