Active NPI
Joseph Richard Martinez Jr., DC
- Chiropractor
- Fontana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33287
- Practice address
- 8460 Nuevo Ave Ste 4
Fontana, CA 92335-3824 - Phone
- (951) 545-9280
- NPI assigned
- Nov 4, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33287 | CA | Primary |
Addresses
Primary practice location
8460 Nuevo Ave Ste 4
Fontana, CA 92335-3824
Mailing address
8460 Nuevo Ave Ste 4
Fontana, CA 92335-3824
Phone (951) 545-9280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200312000787 | CA | Practitioner - Chiropractic | 6709214505 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33287 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moeller-Bertram Medical Corporation | Current | Accepting new patients |
Locations
44630 Monterey Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 340-4290
36101 Bob Hope Dr
Ste A1
Rancho Mirage, CA 92270
Phone (760) 321-1315
12830 Hesperia Rd
Ste Ad
Victorville, CA 92395
Phone (760) 684-8999
12640 Hesperia Rd
Ste D
Victorville, CA 92395
Phone (760) 684-4143
Organizations & group practices 1
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.
-
dba Lifekind Health
- Pain Medicine Physician
- Rancho Mirage, CA
- NPI 1699586388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1457995300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8460 NUEVO AVE STE 4",
"city": "FONTANA",
"state": "CA",
"postal_code": "923353824",
"telephone_number": "951-545-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8460 NUEVO AVE STE 4",
"city": "FONTANA",
"state": "CA",
"postal_code": "923353824",
"telephone_number": "951-545-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JOSEPH",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-04",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.