Sports Med MD, Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A79490 Issued in CA

Legal business name

SPORTS MED MD, INC

Practice address

22633 Ventura Blvd
Woodland Hills, CA 91364-1416

Phone

(818) 444-5100

Fax

(818) 337-7456

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronica A Martinez, M.D.NPI 1861415853

Title

President

Phone

(818) 823-6474

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ronica Martinez, MD Doing business as

Locations

Practitioners 1

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

• Ronica A Martinez

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1861415853
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992825087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4472",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912220472",
            "telephone_number": "818-823-6474",
            "fax_number": "818-337-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22633 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641416",
            "telephone_number": "818-444-5100",
            "fax_number": "818-337-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MED MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "RONICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-823-6474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A79490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861415853",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronica Martinez, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spine and Body Wellness
• Monique Lynette Spinella
• Janice R Spinner, M.D.
• Chaneka Denise Spivey
• Patricia S Spizer, LAC
• Cory Springer, ATC
• Erica Spurs
• Sierra Rose Srivats
• SS Home Health Care, Inc.
• Thomas P. St. Phillip, MD

• Medical Specialty Clinic/Center in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.