Dianne C Martin, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

G45774 Issued in CA

Practice address

2287 Mowry Ave Ste F
Fremont, CA 94538-1622

Phone

(510) 248-1585

Fax

(510) 739-1050

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

87.74 of 100Reported as group

Quality

66.48

Promoting interoperability

100

Improvement activities

40

Cost

75.97

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Washington Township Medical Foundation

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1346557014

  Infectious Disease

  Medicare reassignment NPD
• Washington Township Medical Foundation

  • Urgent Care Clinic/Center
  • Fremont, CA
  • NPI 1669360681
  NPD
• Washington Township Medical Group

  • Family Medicine Physician
  • Fremont, CA
  • NPI 1174675417
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1720162969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2287 MOWRY AVE STE F",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381622",
            "telephone_number": "510-248-1585",
            "fax_number": "510-739-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2287 MOWRY AVE STE F",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381622",
            "telephone_number": "510-248-1585",
            "fax_number": "510-739-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2191 Mowry Ave",
            "address_2": "Suite 500C",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381725",
            "country_code": "US",
            "telephone_number": "510-790-1045",
            "fax_number": "510-790-1876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DIANNE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G045774",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G45774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "G045774",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Marshall
• Julia Marie Marshall, RBT
• Olivia Marshall
• Colleen Anne Martin Chicoine, WHNP/CNM
• Yesica Martin Pablo
• Erica L Martin, LVN
• Jerry Vann Martin, M.D.
• Kemari Sanaa Krystal Martin
• Magaly Martin
• Taliva Donley Martin, M.D.

• Infectious Disease Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.