NPIMap

Organization Active NPI

Dustin Martinez DC

  • Chiropractor
  • San Pedro, CA
National Provider Identifier
1992161012
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC33346 Issued in CA
Legal business name
DUSTIN MARTINEZ DC
Practice address
1366 W 7TH St
Suite 4B
San Pedro, CA 90732-3500
Phone
(310) 547-2197
Fax
(310) 547-9532
NPI assigned
Jan 5, 2016
Organization subpart
Yes
Parent organization
SAN PEDRO HEALING ARTS MEDICAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Maria E Baez, OMD LACNPI 1750329793
Title
Ceo
Phone
(310) 547-2197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC33346 CA Primary

Addresses

Primary practice location

1366 W 7TH St
Suite 4B
San Pedro, CA 90732-3500

Mailing address

1366 W 7TH St
Suite 4B
San Pedro, CA 90732-3500
Phone (310) 547-2197

Other identifiers 1

IdentifierTypeStateIssuer
DC33346OtherCACHIROPRACTOR LICENSE

Other names 1

  • Healing Arts Medical Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Dustin Martinez DC7 organizations share this tax ID, including this one
Part of
Dustin Martinez DC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1992161012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 W 7TH ST",
            "address_2": "SUITE 4B",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323500",
            "telephone_number": "310-547-2197",
            "fax_number": "310-547-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 W 7TH ST",
            "address_2": "SUITE 4B",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323500",
            "telephone_number": "310-547-2197",
            "fax_number": "310-547-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSTIN MARTINEZ DC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN PEDRO HEALING ARTS MEDICAL CLINIC",
        "enumeration_date": "2016-01-05",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-547-2197",
        "authorized_official_credential": "OMD LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC33346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR LICENSE",
            "identifier": "DC33346",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Arts Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.