Danielle Elisa Martinez, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA55126 Issued in CA

Practice address

13768 Roswell Ave Ste 115
Chino, CA 91710-1402

Phone

(909) 364-1617

Fax

(909) 364-1126

NPI assigned

Oct 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1679024426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE STE 115",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101402",
            "telephone_number": "909-364-1617",
            "fax_number": "909-364-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE STE 115",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101402",
            "telephone_number": "909-364-1617",
            "fax_number": "909-364-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DANIELLE",
        "middle_name": "ELISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA55126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Chiropractic
• Clarissa Katherine Martin
• David Lugene Martin, D.C.
• Erin Mary Martin, LPC, MFT
• Lana M. Martin, FNP-BC, PMHNP
• Giselle Martinez
• Jason Mathews, DO
• Maureen Burney
• William Maxfield
• Maximum Surgery Medical Center, Inc.

• Medical Physician Assistant in Chino, CA
• Providers in Chino, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.