NPIMap

Individual provider Active NPI

Gonzalo Martinez, MD

  • Family Medicine Physician
  • Palmdale, CA
National Provider Identifier
1578622700
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G45660 Issued in CA
Practice address
41230 11TH St. West, Suite E
Palmdale, CA 93551-5277
Phone
(661) 273-1614
Fax
(661) 273-4816
NPI assigned
Dec 6, 2006
Last updated
Nov 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X G45660 CA
Internal Medicine Physician 207R00000X G45660 CA
Obstetrics & Gynecology Physician 207V00000X G45660 CA
Pediatrics Physician 208000000X G45660 CA
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X G45660 CA
Surgery Physician 208600000X G45660 CA
Urology Physician 208800000X G45660 CA
Colon & Rectal Surgery Physician 208C00000X G45660 CA
General Practice Physician 208D00000X G45660 CA
Allergy & Immunology Physician 207K00000X G45660 CA
Dermatology Physician 207N00000X G45660 CA
Family Medicine Physician 207Q00000X G45660 CA Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X G45660 CA
Addiction Medicine (Family Medicine) Physician 207QA0401X G45660 CA

Addresses

Primary practice location

41230 11TH St. West, Suite E
Palmdale, CA 93551-5277

Mailing address

41230 11TH St. West, Suite E
Palmdale, CA 93551-5277
Phone (661) 273-1614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071016000278 CA Practitioner - Family PracticePractitioner - Emergency Medicine 4981790359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

38460 5TH St W
Suite a E
Palmdale, CA 93551-4685
Phone (661) 273-1614

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions29
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gonzalo Gonzalez Martinez MD Inc Family Medicine CurrentSince Oct 16, 2007 Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Antelope Valley Emergency Medical Associates Inc Past Accepting new patients

Locations

38460 5th St W
Palmdale, CA 93551

38460 5th St W
Ste Ae
Palmdale, CA 93551
Phone (661) 273-1614

38460 5th St W
Ste D
Palmdale, CA 93551
Phone (661) 273-1614

Interoperability endpoints

  • Direct secure messaging: gonzalo.martinez.1@23208.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23208/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1578622700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41230 11TH ST. WEST, SUITE E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515277",
            "telephone_number": "661-273-1614",
            "fax_number": "661-273-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41230 11TH ST. WEST, SUITE E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515277",
            "telephone_number": "661-273-1614",
            "fax_number": "661-273-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GONZALO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G45660",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G45660",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G45660",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G45660",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "G45660",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G45660",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G45660",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G45660",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G45660",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G45660",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G45660",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G45660",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "G45660",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G45660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.