Jonathan Martinez, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 13140 Issued in CA

Practice address

4959 Palo Verde St
Ste 101a
Montclair, CA 91763-2340

Phone

(909) 621-2562

Fax

(909) 621-2480

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Southern California Keck School of Medicine, 1992

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Pros Medical Clinic IncGroup PAC ID 2163687716, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Priority One Home Health Services Inc Home health agency, Montclair, CA, CCN 058063
• San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Pros Medical Clinic, Inc.

  • Primary Care Clinic/Center
  • Montclair, CA
  • NPI 1942567854
  Medicare reassignment Care Compare group Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Priority One Home Health Services Inc

  • Home Health Agency
  • Montclair, CA
  • NPI 1083609853
  Care Compare affiliation
• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1750491908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "STE 101A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632340",
            "telephone_number": "909-621-2562",
            "fax_number": "909-621-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "STE 101A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632340",
            "telephone_number": "909-621-2562",
            "fax_number": "909-621-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JONATHAN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 13140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Isaac Martinez
• Desiree Monique Martinez
• Evelyn Martinez
• Isabela Marina Martinez
• Jaqueline Guadalupe Martinez
• Kate Yumaira Martinez
• Kathleen Martinez
• McKinsey Rae Martinez
• Michelle Martinez
• Mikayla Lorraine Martinez

• Medical Physician Assistant in Montclair, CA
• Providers in Montclair, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.