Individual provider Active NPI

Carlos Enrique Martinez, MD

  • Ophthalmology Physician
  • Long Beach, CA
National Provider Identifier
1710093083
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A68745 Issued in CA
Practice address
3325 Palo Verde Avenue
Suite 103
Long Beach, CA 90808-4132
Phone
(562) 421-2757
Fax
(562) 420-7267
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A68745 CA Primary

Addresses

Primary practice location

3325 Palo Verde Avenue
Suite 103
Long Beach, CA 90808-4132

Mailing address

3325 Palo Verde Avenue
Suite 103
Long Beach, CA 90808-4132
Phone (562) 421-2757

Other identifiers 1

IdentifierTypeStateIssuer
00A687450MedicaidCA

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
I20110920000120 CA Practitioner - Ophthalmology 3072616572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians of Long Beach a Medical Group IncGroup PAC ID 9234124538, 8 clinicians

Practice addresses (Care Compare)

2925 Palo Verde Ave
Long Beach, CA 90815-1552
Phone (562) 799-2020

Merit-based Incentive Payment System (MIPS)

Final score
99.8 of 100Reported as individual
Quality
99.6
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery247

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68745CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians of Long Beach a Medical Group Inc Ophthalmology Current Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

3325 Palo Verde Ave
Ste 103
Long Beach, CA 90808
Phone (562) 421-2757

3325 Palo Verde Ave
Long Beach, CA 90808
Phone (310) 982-0010

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: carlos.martinez@direct.eplb.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1710093083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 PALO VERDE AVENUE",
            "address_2": "SUITE 103",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084132",
            "telephone_number": "562-421-2757",
            "fax_number": "562-420-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 PALO VERDE AVENUE",
            "address_2": "SUITE 103",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084132",
            "telephone_number": "562-421-2757",
            "fax_number": "562-420-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CARLOS",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A68745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A687450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.