Individual provider Active NPI

Richard Martin, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Luis Obispo, CA
National Provider Identifier
1922023126
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
G83947 Issued in CA
Practice address
1334 Marsh St
San Luis Obispo, CA 93401-3316
Phone
(805) 543-2724
Fax
(805) 543-5270
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X G83947 CA Primary

Addresses

Primary practice location

1334 Marsh St
San Luis Obispo, CA 93401-3316

Mailing address

1334 Marsh St
San Luis Obispo, CA 93401-3316
Phone (805) 543-2724

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
I20050223000419 CA Practitioner - Physical Medicine and Rehabilitation 1658324223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of California, Davis School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 S Halcyon Rd
Arroyo Grande, CA 93420-3117
Phone (805) 459-2508

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83947CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Obispo Rehabilitation Specialists, Inc. Pain Medicine CurrentSince Jan 12, 2013 Accepting new patients
Central Rehabilitation Clinic Inc PastSince Mar 14, 2010 Accepting new patients
Eric Dunlop, DO, Inc. Past Accepting new patients
Thomas D. Ferro M.D. a Medical Corporation PastSince Jan 1, 2006 Accepting new patients

Locations

1545 Higuera St
Sn Luis Obisp, CA 93401
Phone (805) 543-5633

865 Aerovista Pl
Ste 120
Sn Luis Obisp, CA 93401
Phone (805) 459-2508

793 E Foothill Blvd
Ste A
Sn Luis Obisp, CA 93405
Phone (714) 856-0849

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1922023126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 MARSH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013316",
            "telephone_number": "805-543-2724",
            "fax_number": "805-543-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 MARSH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013316",
            "telephone_number": "805-543-2724",
            "fax_number": "805-543-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "G83947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.