Individual provider Active NPI

Marty Clayman, M.D.

  • Pediatric Anesthesiology Physician
  • Clovis, CA
National Provider Identifier
1932294972
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
29058 Issued in KY
Practice address
483 W Muncie Ave
Clovis, CA 93619-8351
Phone
(559) 250-8344
NPI assigned
Oct 4, 2006
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G73722 CA
Pediatric Anesthesiology Physician 207LP3000X 29058 KY Primary

Addresses

Primary practice location

483 W Muncie Ave
Clovis, CA 93619-8351

Mailing address

483 W Muncie Ave
Clovis, CA 93619-8351
Phone (559) 250-8344

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ71868ZMedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

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
I20140729000000 CA Practitioner - AnesthesiologyPractitioner - Other (Physician) 7012133002 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G73722CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince May 1, 2020 Accepting new patients
Permanente Medical Group Inc Single Specialty Current Accepting new patients
Community Foundation Medical Group CurrentSince May 1, 2020 Accepting new patients
Norton Children's Medical Group, LLC Single Specialty Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Jul 29, 2021 Accepting new patients
Permanente Medical Group Inc Single Specialty CurrentSince Jul 29, 2021 Accepting new patients
Pediatric Anesthesia Associates Medical Group Inc Single Specialty CurrentSince May 3, 2014 Accepting new patients
Valley Regional Anesthesia Associates Inc Single Specialty CurrentSince Dec 1, 2022 Accepting new patients
Community Foundation Medical Group Single Specialty Current Accepting new patients
Regional Anesthesia Associates Inc Single Specialty CurrentSince Jan 14, 2023 Accepting new patients
California Pediatric Anesthesia Consultants Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Kentucky Medical Services Foundation, Inc Single Specialty Past Accepting new patients
Dental Surgery Centers of America Past Accepting new patients

Locations (25 of 31)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1630 E Herndon Ave
Ste 100
Fresno, CA 93720
Phone (559) 449-2888

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

6235 N Fresno St
Fresno, CA 93710
Phone (559) 229-3668

6235 N Fresno St
Ste 103
Fresno, CA 93710
Phone (559) 449-4350

7257 N Fresno St
Fresno, CA 93720
Phone (559) 447-4050

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

7766 N Palm Ave
Ste 104
Fresno, CA 93711
Phone (559) 250-8344

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

9300 Valley Childrens Pl
Ste FE10
Madera, CA 93636

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1932294972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 W MUNCIE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198351",
            "telephone_number": "559-250-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 W MUNCIE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198351",
            "telephone_number": "559-250-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYMAN",
        "first_name": "MARTY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G73722",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "KY",
            "license": "29058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ71868Z",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7300 N Fresno St",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937202941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.