Michael Shawn Martinez

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A106579 Issued in CA

Practice address

20094 Mission Blvd
Hayward, CA 94541-1237

Phone

(510) 727-9755

Fax

(510) 727-9761

NPI assigned

Jan 27, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Humanistic Alternatives to Addiction Research and Treatment, Inc.

  • Methadone Clinic
  • Oakland, CA
  • NPI 1720204696
  NPD (past)
• Humanistic Alternatives to Addiction, Research and Treatment Inc.

  • Methadone Clinic
  • Hayward, CA
  • NPI 1184835332
  NPD (past)

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1790923886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20094 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411237",
            "telephone_number": "510-727-9755",
            "fax_number": "510-727-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20094 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411237",
            "telephone_number": "510-727-9755",
            "fax_number": "510-727-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MICHAEL",
        "middle_name": "SHAWN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A106579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Martinez
• Jennifer Martinez, ASW
• Krystal Sarahi Martinez
• Malisa Martinez
• Maria Susana Martinez
• Natessa J Martinez
• Nicole Martinez
• Nina Martinez
• Raeleen Martinez
• Rosa Martinez

• Family Medicine Physician in Hayward, CA
• Providers in Hayward, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.