Active NPI
Irmina Bautista Martinez, DMD
- Dentist
- Oceanside, CA
National Provider Identifier
1891714481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38085
- Practice address
- 3776 Mission Ave
Ste. D
Oceanside, CA 92054-1459 - Phone
- (760) 439-2626
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 38085 | CA | Primary |
Addresses
Primary practice location
3776 Mission Ave
Ste. D
Oceanside, CA 92054-1459
Mailing address
3776 Mission Ave
Ste. D
Oceanside, CA 92054-1459
Phone (760) 439-2626
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160916001288 | CA | Order and Referring Only - Other (Non-Physician) | 4688961782 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891714481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3776 MISSION AVE",
"address_2": "STE. D",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920541459",
"telephone_number": "760-439-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3776 MISSION AVE",
"address_2": "STE. D",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920541459",
"telephone_number": "760-439-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "IRMINA",
"middle_name": "BAUTISTA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "38085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.