Active NPI
Martel Eye Institute LLC
- Ambulatory Surgical Clinic/Center
- Rancho Cordova, CA
National Provider Identifier
1629376207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph R Martel, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Martel Eye Institute LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Rancho Cordova, CA
- NPI 1154849495
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Rancho Cordova, CA
- NPI 1063439776
-
- Ophthalmology Physician
- Rancho Cordova, CA
- NPI 1851312300
-
- Ophthalmology Physician
- Rancho Cordova, CA
- NPI 1508991993
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.