Individual provider Active NPI

Mario D. Martinez, M.D.

  • Family Medicine Physician
  • Selma, CA
National Provider Identifier
1801183181
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A126016 Issued in CA
Practice address
1041 Rose Ave
Selma, CA 93662-3240
Phone
(559) 856-6090
Fax
(559) 856-6092
NPI assigned
Jul 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A126016 CA Primary

Addresses

Primary practice location

1041 Rose Ave
Selma, CA 93662-3240

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140125000297 CA Practitioner - Family PracticePractitioner - Internal Medicine 1850529645 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Hospitalist Medical Group, IncGroup PAC ID 5395882351, 36 clinicians
Kaweah Delta Health Care DistrictGroup PAC ID 6608778790, 110 clinicians

Practice addresses (Care Compare)

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 909-0264

938 N Cherry St
Tulare, CA 93274-2210
Phone (559) 686-3481

Hospital & facility affiliations

  • Kaweah Health Home Health Home health agency, Visalia, CA, CCN 057255
  • Kure Home Health Home health agency, Clovis, CA, CCN 559543
  • Seva Home Health Home health agency, Porterville, CA, CCN 059544
  • Adventist Health Home Care Services Home health agency, Hanford, CA, CCN 057477
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A126016CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC CurrentSince Nov 1, 2015 Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients
Kaweah Delta Health Care District CurrentSince Apr 1, 2020 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Galen Inpatient Physicians PC Family Medicine CurrentSince Nov 1, 2015 Accepting new patients
Valley Hospitalist Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Kaweah Delta Health Care District CurrentSince Apr 1, 2020 Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Reedley Community Hospital Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Hanford Community Hospital Past Accepting new patients
University Faculty Associates, Inc. Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

1000 N Mooney Blvd
Tulare, CA 93274
Phone (559) 624-6358

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

202 W Willow Ave
Ste 502
Visalia, CA 93291
Phone (559) 624-4820

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1801183181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 ROSE AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623240",
            "telephone_number": "559-856-6090",
            "fax_number": "559-856-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARIO",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A126016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, CA

Sources for this page

Verify at the official NPI Registry.