Organization Active NPI

Martel Eye Institute LLC

  • Ambulatory Surgical Clinic/Center
  • Rancho Cordova, CA
National Provider Identifier
1629376207
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MARTEL EYE INSTITUTE LLC
Practice address
11216 Trinity River Dr
Rancho Cordova, CA 95670-2968
Phone
(916) 635-6161
Fax
(916) 631-3788
NPI assigned
Mar 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Joseph R Martel, M.D.NPI 1063439776
Title
President
Phone
(916) 631-7868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

11216 Trinity River Dr
Rancho Cordova, CA 95670-2968

Mailing address

11216 Trinity River Dr
Rancho Cordova, CA 95670-2968
Phone (916) 635-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110614000600 CA Part B Supplier - Ambulatory Surgical Center 4789861055 Practice locations: Rancho Cordova, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Martel Eye Institute LLCCCN 05C0002023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Martel Eye Institute LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629376207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11216 TRINITY RIVER DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702968",
            "telephone_number": "916-635-6161",
            "fax_number": "916-631-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 TRINITY RIVER DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702968",
            "telephone_number": "916-635-6161",
            "fax_number": "916-631-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTEL EYE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTEL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-631-7868",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.