Individual provider Active NPI

Martin J Backman, M.D.

  • Neurology Physician
  • Santa Ana, CA
National Provider Identifier
1699738385
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A 44638 Issued in CA
Practice address
11180 Warner Ave Ste 259
Santa Ana, CA 92708-7516
Phone
(714) 540-1840
Fax
(714) 540-2319
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A 44638 CA Primary

Addresses

Primary practice location

11180 Warner Ave Ste 259
Santa Ana, CA 92708-7516

Mailing address

11180 Warner Ave Ste 259
Fountain Valley, CA 92708-7516
Phone (714) 540-1840

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
I20140924001697 CA Practitioner - Neurology 4789722174 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11180 Warner Ave
Suite 259
Fountain Valley, CA 92708-7516
Phone (714) 540-1840

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 44638CAMDNeurology Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Martin J Backman MD Medical Corporation Neurology CurrentSince Jul 1, 2014 Accepting new patients
Integrated Pain Management Medical Group, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Agnews Community Clinic CurrentSince Jun 1, 2014 Accepting new patients
State of California - Department of Developmental Services Current Accepting new patients
State of California - Department of Developmental Services CurrentSince Jun 1, 2014 Accepting new patients

Locations

2501 Harbor Blvd
Costa Mesa, CA 92626
Phone (714) 957-5000

2414 S Fairview St
Ste 110
Santa Ana, CA 92704
Phone (714) 241-8624

11180 Warner Ave
Ste 259
Santa Ana, CA 92708
Phone (714) 540-1840

450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1699738385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE STE 259",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087516",
            "telephone_number": "714-540-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE STE 259",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927087516",
            "telephone_number": "714-540-1840",
            "fax_number": "714-540-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKMAN",
        "first_name": "MARTIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A 44638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.