Organization Active NPI

Deo Martinez MD PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Moreno Valley, CA
National Provider Identifier
1962560235
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A32000 Issued in CA
Legal business name
DEO MARTINEZ MD PC
Practice address
13050 Heacock St
Moreno Valley, CA 92553-1350
Phone
(951) 656-1660
Fax
(951) 656-2060
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Carmen Sandoval Martinez
Title
Office Manager Chief Financial Offi
Phone
(951) 656-1660

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X A32000 CA
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RE0101X A32000 CA Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0300X A32000 CA

Addresses

Primary practice location

13050 Heacock St
Moreno Valley, CA 92553-1350

Mailing address

PO Box 1350
Moreno Valley, CA 92556-1350
Phone (951) 656-1660

Other identifiers 1

IdentifierTypeStateIssuer
GR0021600MedicaidCA

Other names 1

  • Deo Martinez MD PC Doing business as

National Provider Directory

National Provider Directory

Locations

13050 Heacock St
Moreno Valley, CA 92553
Phone (951) 485-8490

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962560235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1350",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925561350",
            "telephone_number": "951-656-1660",
            "fax_number": "951-656-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13050 HEACOCK ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925531350",
            "telephone_number": "951-656-1660",
            "fax_number": "951-656-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEO MARTINEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "SANDOVAL",
        "authorized_official_title_or_position": "OFFICE MANAGER CHIEF FINANCIAL OFFI",
        "authorized_official_telephone_number": "951-656-1660"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A32000",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A32000",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A32000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0021600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deo Martinez MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.