Individual provider Active NPI

Carlos Tomas Jorge Martinez, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1649304650
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
20A9856 Issued in CA
Practice address
7777 Milliken Ave
Suite 310
Rancho Cucamonga, CA 91730-6780
Phone
(909) 944-3797
Fax
(909) 944-3914
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 20A9856 CA Primary

Addresses

Primary practice location

7777 Milliken Ave
Suite 310
Rancho Cucamonga, CA 91730-6780

Mailing address

7777 Milliken Ave
Suite 310
Rancho Cucamonga, CA 91730-6780
Phone (909) 944-3797

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
I20071018000224 CA Practitioner - Interventional Pain ManagementPractitioner - Osteopathic Manipulative MedicinePractitioner - Physical Medicine and Rehabilitation 0345336657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Osteopathic Manipulative Medicine, Physical Medicine and Rehabilitation
Education
Western University of Health Sciences College of Dental Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7777 Milliken Ave
Suite 310
Rancho Cucamonga, CA 91730-7456
Phone (909) 944-3797

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A9856CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician
9856CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos T J Martinez, DO Inc Pain Medicine CurrentSince Nov 19, 2015 Accepting new patients
San Antonio Regional Hospital PastSince Nov 19, 2015 Accepting new patients

Locations

412 W Carroll Ave
Ste 202
Glendora, CA 91741
Phone (626) 335-0208

225 E Bonita Ave
Bldg 3B
Pomona, CA 91767
Phone (909) 593-3550

7777 Milliken Ave
Ste 310
Rch Cucamonga, CA 91730
Phone (909) 944-3559

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

901 San Bernardino Rd
Ste 102
Upland, CA 91786
Phone (909) 579-6721

901 San Bernardino Rd
Upland, CA 91786
Phone (909) 279-1500

901 San Bernardino Rd
Fl 2
Upland, CA 91786
Phone (909) 579-1500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JACGAA/Endpoint/JACGAA

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1649304650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE",
            "address_2": "SUITE 310",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306780",
            "telephone_number": "909-944-3797",
            "fax_number": "909-944-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE",
            "address_2": "SUITE 310",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306780",
            "telephone_number": "909-944-3797",
            "fax_number": "909-944-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CARLOS",
        "middle_name": "TOMAS JORGE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A9856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.