Individual provider Active NPI

William A Martin, M.D.

  • Physical Medicine & Rehabilitation Physician
  • La Selva Beach, CA
National Provider Identifier
1871529677
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G62363 Issued in CA
Practice address
265 Camino Al Barranco
La Selva Beach, CA 95076-1505
Phone
(831) 331-6239
Fax
(408) 342-1972
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X G62363 CA Primary

Addresses

Primary practice location

265 Camino Al Barranco
La Selva Beach, CA 95076-1505

Mailing address

265 Camino Al Barranco
La Selva Beach, CA 95076-1505
Phone (831) 688-2455

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
I20080408000931 CA Practitioner - Physical Medicine and Rehabilitation 6002993524 Reassigns benefits to 1 organization
Practice locations: La Selva Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Hahnemann University College of Medicine, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Sierra Neurodiagnostic Group LLCGroup PAC ID 8921595927, 2 clinicians

Practice addresses (Care Compare)

265 Camino Al Barranco
La Selva Beach, CA 95076-1505
Phone (831) 331-6239

4889 Charlotte Way
Livermore, CA 94550-7213
Phone (510) 372-7527

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62363CAMDPediatric Dentist
G62363CAMDPhysical Medicine & Rehabilitation Physician
G68363CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Neurodiagnostic Group LLC CurrentSince Jun 30, 2025 Accepting new patients

Locations

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1871529677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 CAMINO AL BARRANCO",
            "city": "LA SELVA BEACH",
            "state": "CA",
            "postal_code": "950761505",
            "telephone_number": "831-688-2455",
            "fax_number": "408-340-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 CAMINO AL BARRANCO",
            "city": "LA SELVA BEACH",
            "state": "CA",
            "postal_code": "950761505",
            "telephone_number": "831-331-6239",
            "fax_number": "408-342-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G62363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Selva Beach, CA

Sources for this page

Verify at the official NPI Registry.