Individual provider Active NPI

Antonio Martinez Gonzalez

  • Surgical Assistant
  • Spring, TX
National Provider Identifier
1992378921
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
05-248 Issued in TX
Practice address
79 W Arbor Camp Cir
Spring, TX 77389-5321
Phone
(936) 718-5094
NPI assigned
Jul 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X
Surgical Assistant 246ZC0007X 05-248 TX Primary

Addresses

Primary practice location

79 W Arbor Camp Cir
Spring, TX 77389-5321

Mailing address

19 Clearview Terrace PL
The Woodlands, TX 77375-1541
Phone (936) 718-5094

Other practice location 1

19 Clearview Terrace Pl
The Woodlands, TX 77375-1541
Phone (936) 718-5094

Other names 1

  • Antonio Martinez Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05-248TXMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amg Sas LLC Single Specialty CurrentSince Oct 5, 2021 Accepting new patients

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1992378921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CLEARVIEW TERRACE PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773751541",
            "telephone_number": "936-718-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 W ARBOR CAMP CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895321",
            "telephone_number": "936-718-5094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Clearview Terrace Pl",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773751541",
            "country_code": "US",
            "telephone_number": "936-718-5094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ GONZALEZ",
        "first_name": "ANTONIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "05-248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIO",
            "last_name": "MARTINEZ",
            "credential": "SA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.