Active NPI
Daniel Martino, PA-S
- Physician Assistant
- Cornelius, OR
National Provider Identifier
1770733255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA150160
- Practice address
- 85 N 12TH Ave
Cornelius, OR 97113-9029 - Phone
- (503) 352-8562
- NPI assigned
- Sep 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA150160 | OR | Primary |
| Psychiatry Physician | 2084P0800X | PA150160 | OR |
Addresses
Primary practice location
85 N 12TH Ave
Cornelius, OR 97113-9029
Mailing address
85 N 12TH Ave
Cornelius, OR 97113-9029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100218000427 | OR | Practitioner - Physician Assistant | 4385788058 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 NE May LN
McMinnville, OR 97128-9272
Phone (503) 472-1338
226 SE 8TH Ave
Hillsboro, OR 97123-4218
Phone (503) 601-7400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Garcia Memorial Health Center | Current | Accepting new patients |
Locations
2725 SW Cedar Hills Blvd
Ste 200
Beaverton, OR 97005
Phone (503) 352-6000
226 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 601-7385
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Cornelius, OR
- NPI 1679528012
OR
-
- Federally Qualified Health Center (FQHC)
- Newberg, OR
- NPI 1245661636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1770733255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 N 12TH AVE",
"city": "CORNELIUS",
"state": "OR",
"postal_code": "971139029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 N 12TH AVE",
"city": "CORNELIUS",
"state": "OR",
"postal_code": "971139029",
"telephone_number": "503-352-8562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINO",
"first_name": "DANIEL",
"credential": "PA-S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-22",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA150160",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "PA150160",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.