Active NPI
Jaime Armando Martinez
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1821398116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 21294
- Practice address
- 3612 1/2 East First Street
Los Angeles, CA 90063 - Phone
- (323) 264-7796
- Fax
- (323) 264-0099
- NPI assigned
- Nov 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 21294 | CA | Primary |
Addresses
Primary practice location
3612 1/2 East First Street
Los Angeles, CA 90063
Mailing address
3612 1/2 East First Street
Los Angeles, CA 90063
Phone (323) 264-7796
Other names 1
- Jaime Armando Martinez
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21294 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Podiatry Group Inc. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
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.
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-
- Multi-Specialty Clinic/Center
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-
- General Practice Physician
- Los Angeles, CA
- NPI 1023161684
-
- Surgical Physician Assistant
- Alhambra, CA
- NPI 1982432506
-
- Geriatric Medicine (Family Medicine) Physician
- Long Beach, CA
- NPI 1033164017
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1073706289
-
- Foot & Ankle Surgery Podiatrist
- Alhambra, CA
- NPI 1447670955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1821398116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3612 1/2 EAST FIRST STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90063",
"telephone_number": "323-264-7796",
"fax_number": "323-264-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3612 1/2 EAST FIRST STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90063",
"telephone_number": "323-264-7796",
"fax_number": "323-264-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JAIME",
"middle_name": "ARMANDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-02",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "21294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAIME",
"last_name": "MARTINEZ",
"middle_name": "ARMANDO",
"credential": "PHYSICIAN ASSISTANT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.