Organization Active NPI

Eufrocino C. Martinez, M. D., Inc.

  • Surgery Physician
  • Norwalk, CA
National Provider Identifier
1700914322
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A35980 Issued in CA
Legal business name
EUFROCINO C. MARTINEZ, M. D., INC.
Practice address
12820 Studebaker Rd Ste 100
Norwalk, CA 90650-2579
Phone
(562) 651-0021
Fax
(562) 651-1122
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Dr. Eufrocino Cabotaje Martinez, M. D.NPI 1891877056
Title
President
Phone
(562) 651-0021

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A35980 CA Primary

Addresses

Primary practice location

12820 Studebaker Rd Ste 100
Norwalk, CA 90650-2579

Mailing address

12820 Studebaker Rd Ste 100
Norwalk, CA 90650-2579
Phone (562) 651-0021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090521000589 CA Part B Supplier - Clinic/Group Practice 5092864090 Receives reassigned benefits from 1 practitioner
Practice locations: Panorama City, CA; Huntington Beach, CA; Beverly Hills, CA; Long Beach, CA

National Provider Directory

National Provider Directory

Locations

12820 Studebaker Rd
Ste 100
Norwalk, CA 90650
Phone (562) 651-0021

12820 Studebaker Rd
Ste 10
Norwalk, CA 90650
Phone (562) 651-0021

Practitioners & affiliated clinicians

Practitioners 1

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1700914322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 STUDEBAKER RD STE 100",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502579",
            "telephone_number": "562-651-0021",
            "fax_number": "562-651-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 STUDEBAKER RD STE 100",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502579",
            "telephone_number": "562-651-0021",
            "fax_number": "562-651-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUFROCINO C. MARTINEZ, M. D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "EUFROCINO",
        "authorized_official_middle_name": "CABOTAJE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-651-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A35980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.