Active NPI
Edmundo Simon Martinez III III, OTR
- Occupational Therapist
- Santa Rosa, CA
National Provider Identifier
1497063564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4140
- Practice address
- 5555 Montgomery Dr.
Santa Rosa, CA 95409 - Phone
- (707) 579-6972
- Fax
- (707) 579-6987
- NPI assigned
- Sep 22, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4140 | CA | Primary |
Addresses
Primary practice location
5555 Montgomery Dr.
Santa Rosa, CA 95409
Mailing address
4560 SE International Way
Ste. 100
Milwaukie, OR 97222
Phone (971) 206-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4140 | CA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1497063564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY",
"address_2": "STE. 100",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "97222",
"telephone_number": "971-206-5200",
"fax_number": "971-206-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 MONTGOMERY DR.",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95409",
"telephone_number": "707-579-6972",
"fax_number": "707-579-6987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ III",
"first_name": "EDMUNDO",
"middle_name": "SIMON",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-22",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "4140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.