Individual provider Active NPI

Richard A Martinez, MD

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1578615647
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G62068 Issued in CA
Practice address
1355 East St
Suite 200
Redding, CA 96001-0801
Phone
(530) 605-4260
Fax
(530) 605-4265
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G62068 CA Primary

Addresses

Primary practice location

1355 East St
Suite 200
Redding, CA 96001-0801

Mailing address

PO Box 991901
Redding, CA 96099-1901
Phone (530) 605-4260

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
I20100909000331 CA Practitioner - Family Practice 4385769744 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G62068CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Regional Medical Group, Inc Family Medicine CurrentSince Mar 1, 2014 Accepting new patients
Orna Gil MD Inc Current Accepting new patients
Shasta Regional Medical Group Inc Current Accepting new patients
Shasta Regional Medical Center, LLC Past Accepting new patients

Locations

1801 W Olympic Blvd
#1640
Pasadena, CA 91199

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA
  • Direct secure messaging: richard.martinez.p3@direct.smmg.nextgenshare.com

Organizations & group practices 4

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1578615647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 991901",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960991901",
            "telephone_number": "530-605-4260",
            "fax_number": "530-605-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 EAST ST",
            "address_2": "SUITE 200",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010801",
            "telephone_number": "530-605-4260",
            "fax_number": "530-605-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G62068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.