Active NPI
Martin Rocha, M.D.
- Pediatrics Physician
- Lake Arrowhead, CA
National Provider Identifier
1962435586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A54355
- Practice address
- 251 N Hwy 173
Lake Arrowhead, CA 92321 - Phone
- (909) 336-3670
- Fax
- (909) 336-3674
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A54355 | CA | Primary |
Addresses
Primary practice location
251 N Hwy 173
Lake Arrowhead, CA 92321
Mailing address
PO Box 716
Cedar Glen, CA 92321-0716
Phone (909) 336-3670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A543550 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A54355 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Rocha MD Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- rocham@mchcares.securechart.com
- martinrochamd.martinrocha@126781.advancedmd-direct.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1962435586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 716",
"city": "CEDAR GLEN",
"state": "CA",
"postal_code": "923210716",
"telephone_number": "909-336-3670",
"fax_number": "909-336-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 N HWY 173",
"city": "LAKE ARROWHEAD",
"state": "CA",
"postal_code": "92321",
"telephone_number": "909-336-3670",
"fax_number": "909-336-3674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHA",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A54355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A543550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Arrowhead, CA
- Refuge Inc
- Refuge Treatment Center Inc.
- George Anton Remisovsky, M.D.
- Michelle Ely Ricardo, MOTR
- Rim of the World Usd
- San Bernardino Medical Orthopaedic Group, Inc.
- San Bernardino Mountains Community Hospital
- San Bernardino Mountains Community Hospital District
- San Bernardino Mountains Community Hospital District
- San Bernardino Mountains Community Hospital District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.