Daniel Martino, PA-C, CAQ-PSYCH

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA150160 Issued in OR

Practice address

12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687

Phone

(833) 931-1716

Fax

(866) 519-5427

NPI assigned

Sep 22, 2008

Last updated

Sep 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Garcia Memorial Health CenterGroup PAC ID 7113823881, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Virginia Garcia Memorial Health Center

  • Federally Qualified Health Center (FQHC)
  • Cornelius, OR
  • NPI 1679528012
  Medicare reassignment Care Compare group
• Virginia Garcia Memorial Health Center

  • Federally Qualified Health Center (FQHC)
  • Newberg, OR
  • NPI 1245661636
  NPD
• Well Coast Psychiatric Inc. a Nursing Corp

  dba Celium Healthcare

  • Psychiatry Physician
  • Tigard, OR
  • NPI 1841784725
  NPD (past)
• Well Coast Medical Corporation

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1881245231
  NPD (past)

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1770733255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 1608",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045317",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 SW MILLIKAN WAY STE 300",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051687",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "582 Market St Ste 1608",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941045317",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Bristol St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926265981",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6080 Center Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900459209",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4295 Gesner St Ste 2E",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921176660",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "DANIEL",
        "credential": "PA-C, CAQ-PSYCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "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
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Martinez, LMT
• Mario Martinez, MBA
• Rocio Martinez
• Yuliana Perez Martinez
• Michael Robert Martini, CADC2
• Megan Martinson
• Michael Martynowicz
• Mary Ann Mendez
• Maryville Nursing Home
• Heidi A Masanga, R.N.

• Physician Assistant in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.