Marco A Martinez, M.D.
Individual provider Active NPI Nephrology Physician · Cudahy, CA
NPI 1700924909 · NPPES record last updated Jun 4, 2010
Key facts
- NPI
- 1700924909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- A54076 (CA)
- Practice address
- 4566 Florence Ave
Suite # 5
Cudahy, CA 90201-4345 - Phone
- (323) 771-7466
- Fax
- (323) 771-4920
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4566 E Florence Ave
Suite 5
Cudahy, CA 90201-4346
Phone (323) 771-7466
Hospital & facility affiliations
- DaVita Imperial Care Dialysis Center
- East Los Angeles Dialysis Center
- DaVita Premier Dialysis Center
- FMC-Paramount Hope Dialysis Center
- DaVita Huntington Park Dialysis
- Home Care Excellence Health Services, Inc
- Preferred Choice Home Health Care, Inc
- Pih Health Downey Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100910000102 | CA | Practitioner - Internal Medicine |
9739179078 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A54076 | CA | MD | Nephrology Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cudahy Peritoneal Dialysis Center | Current |
Accepting new patients | |
| Marco a. Martinez, M.D. Inc | Internal Medicine | Current |
Accepting new patients |
| East la Dialysis Center | Past |
Accepting new patients | |
| Pih Health Downey Hospital | Past | Accepting new patients |
Locations
4566 Florence Ave
Ste 5
Bell, CA 90201
Phone (323) 771-7466
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A54076 | CA | Yes |
Addresses
Primary practice location
4566 Florence Ave
Suite # 5
Cudahy, CA 90201-4345
Mailing address
4566 Florence Ave
Suite # 5
Cudahy, CA 90201-4345
Phone (323) 771-7466
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A540761 | Medicaid | CA |
Other providers in Cudahy, CA
- Lourdes G Bahamonde DO Inc
- Lovato Family Optometric Center, Inc.
- Victoria Ann Lovato
- Jazmin Luna
- Marco a. Martinez, M.D. Inc
- Paula Celeste McAlpin
- Tiffany Merrill
- Misinko Inc
- Pratish Mistry
- Rebecca Myung
All providers in Cudahy, CA · Nephrology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.