MR. EZEQUIEL MARTINEZ (NPI# 1497822142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497822142 |
| Entity Type | Individual |
| Full Name | MR. EZEQUIEL MARTINEZ |
| Credential | P.A. |
| Practice Address |
330 N D St Ste 300 San Bernardino CA 92401-1522 |
| Practice Telephone | 9098886602 |
| Practice Fax Number | 9098886619 |
| Mailing Telephone | 9098886602 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA18846 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0017240 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1288 N D St, San Bernardino, CA 924054735 | 9098886602 | 9098857494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598275885 | Ezequiel Emiliano Martinez | Nurse Practitioner | 11600 Lakeside Village Ln, Windermere, FL 34786-7024 | 2017-10-02 |
| Street Address |
330 N D ST STE 300 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92401-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891862553 | Baseline Medical Clinic, Inc | Clinic/Center | 330 N D St Ste 300, San Bernardino, CA 92401-1522 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885468 | Eagles Wings Hospice, LLC | Hospice Care, Community Based | 255 N. D Street, Suite 200-xix, San Bernardino, CA 92401 | 2020-09-09 |
| 1457831398 | Omar Torres | Case Manager/Care Coordinator | 574 N Arrowhead Ave., San Bernardino, CA 92401 | 2018-08-20 |
| 1104354539 | Llesenia Aleman | Case Manager/Care Coordinator | 597 North Arrowhead Ave, San Bernardino, CA 92401 | 2017-05-30 |
| 1669916193 | Yvonne Castro | Marriage & Family Therapist | 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 | 2016-12-19 |
| 1811342132 | Maria Teresa Rodriguez Cortes | Counselor | 572 N. Arrowhead Ave. Suite 100, San Bernardino, CA 92401 | 2016-04-25 |
| 1841603339 | Kelly Michelle Cottingham | Licensed Practical Nurse | 350 W. Fifth Street, Suite 212, San Bernardino, CA 92401 | 2014-06-03 |
| 1558781245 | Desiree Inez Harris | Counselor | 572 N Arrowhead Ave #200, San Bernardino, CALIFORNIA 92401 | 2014-04-21 |
| 1194159970 | Sabrina Shrita Thakur | Marriage & Family Therapist | 572 N Arrowhead, San Bernardino, CA 92401 | 2013-08-28 |
| 1770845497 | Youths' Hope Licensed Clinical Social Worker Inc | Counselor | 255 N. D Street, Suite 400, San Bernardino, CA 92401 | 2012-06-08 |
| 1235461427 | Erin Nicole Stines | Recreation Therapist | 572 N. Arrowhead Ave. Suite 200, San Bernardino, CA 92401 | 2010-02-12 |
| Find all providers in zip 92401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881183713 | Judy Hsieh | Physician Assistant | 284 E Highland Ave, San Bernardino, CA 92404-3706 | 2018-05-07 |
| 1124475280 | Steven Jess Heverly | Physician Assistant | 5801 Chiquita Ln, San Bernardino, CA 92404-3207 | 2016-05-18 |
| 1689045197 | Bryan Carter | Physician Assistant | 1455 E 3rd Street, San Bernardino, CA 92410 | 2015-10-09 |
| 1497176754 | Tunde Hrotko | Physician Assistant | 355 E 21st St Ste H, San Bernardino, CA 92404-4851 | 2014-01-03 |
| 1801082946 | Cory Amador | Physician Assistant | 197 East Caroline St., Suite 1400, San Bernardino, CA 92408 | 2007-09-21 |
| 1609993708 | Lou Mizelle Delacruz Tanwangco | Physician Assistant | 1906 Commercenter E Ste 100, San Bernardino, CA 92408-3423 | 2007-03-23 |
| 1750943668 | Benjamin Arthur Rinard | Physician Assistant | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2019-07-01 |
| 1154810679 | Luis A Santana | Physician Assistant | 665 N D St, San Bernardino, CA 92401-1109 | 2018-05-10 |
| 1316450885 | Joseph Krpalek | Physician Assistant | 1455 E 3rd St, San Bernardino, CA 92408 | 2017-11-07 |
| 1003288481 | Nicholas Walther | Physician Assistant | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2015-10-26 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92401 |
Please comment or provide details below to improve the information on MR. EZEQUIEL MARTINEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.