DR. GEORGE MARTIN MARTINEZ (NPI# 1639265051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639265051 |
| Entity Type | Individual |
| Full Name | DR. GEORGE MARTIN MARTINEZ |
| Credential | M.D. |
| Practice Address |
2844 Summit St Ste 106 Oakland CA 94609-3641 |
| Practice Telephone | 5107633005 |
| Practice Fax Number | 5107634840 |
| Mailing Telephone | 5107633005 |
| Mailing Fax Number | 5107634840 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A401490 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A401490 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952949521 | George J Martinez | Clinic/Center | 12516 Bryant St, Broomfield, CO 80020-3844 | 2019-12-14 |
| 1073507828 | George E Martinez | Internal Medicine | 750 N Cobb St, Ste 120, Milledgeville, GA 31061-2390 | 2005-09-08 |
| 1639665557 | George Albert Martinez | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2018-07-03 |
| 1912182064 | George Mario Martinez | Psychologist | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2008-01-08 |
| 1760510549 | George Martinez | Rehabilitation Practitioner | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2007-03-01 |
| 1841304318 | George Martinez | Internal Medicine | 1901 Veterans Memorial Dr, Temple, TX 76508-0001 | 2006-08-19 |
| 1528078086 | George B Martinez Jr. | Internal Medicine | 5500 E Kellogg Dr, Robert J.dole Va Medical Center, Wichita, KS 67218-1607 | 2006-08-08 |
| Street Address |
2844 SUMMIT ST STE 106 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962490029 | Michael P Lin | Dentist | 2844 Summit St, Ste 207, Oakland, CA 94609-3637 | 2005-10-12 |
| 1285004697 | Zahid H. Ahmed D.d.s. Inc | Dentist | 2844 Summit St, Suite 206, Oakland, CA 94609-3637 | 2015-09-28 |
| 1255700555 | Action Jackson Physical Therapy, P.C. | Physical Therapist | 2844 Summit St, Suite 106, Oakland, CA 94609-3637 | 2015-09-17 |
| 1548567571 | Shane Loran Jackson | Physical Therapist | 2844 Summit St, Ste 106, Oakland, CA 94609-3641 | 2011-02-28 |
| 1528231347 | Juon-kin K. Fong, M.d., Inc | Clinic/Center | 2844 Summit St, Suite 103, Oakland, CA 94609-3637 | 2008-04-12 |
| 1821209271 | Barbara Yuh | Pharmacy | 2844 Summit St, Oakland, CA 94609-3637 | 2007-05-25 |
| 1811011562 | Senior Support Services, Inc. | Specialist | 2844 Summit St, 212, Oakland, CA 94609-3637 | 2007-03-19 |
| 1609927102 | Juon-kin K. Fong | Orthopaedic Surgery | 2844 Summit St, Suite 103, Oakland, CA 94609-3637 | 2007-01-13 |
| 1184789869 | Ronald Eugene Bullard | Dentist | 2844 Summit St, #205, Oakland, CA 94609-3637 | 2006-12-24 |
| 1396803367 | Justin Tuat Vo | Chiropractor | 2844 Summit St, Suite 203, Oakland, CA 94609-3637 | 2006-12-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1699287334 | Ann Blackwell | Family Medicine | 7312 Hillmont Dr, Oakland, CA 94605-2928 | 2017-11-03 |
| 1134579170 | Jonathan Patberg | Family Medicine | 350 Hawthorne Ave Rm 2308, Oakland, CA 94609-3108 | 2016-06-21 |
| 1003279068 | Van T Vu | Family Medicine | 250 E 18th Street, 2nd Floor, Oakland, CA 94606-1716 | 2016-03-29 |
| 1831559509 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 5 S. Walnut St., Oakland, IL 61943 | 2016-02-24 |
| 1356729826 | Carroll-anne Heins | Family Medicine | 3600 Broadway Ste 43, Oakland, CA 94611-5730 | 2015-05-15 |
| 1568849743 | Wei (wendy) Diao | Family Medicine | 1800 Harrison St Fl 9th, Oakland, CA 94612 | 2015-04-27 |
| 1902292030 | Xiaoshuang Chen | Family Medicine | 835 Webster Street, Oakland, CA 94607-4219 | 2015-04-15 |
| 1356734859 | Christina Gomez-mira | Family Medicine | 532 Chetwood St, Oakland, CA 94610-1428 | 2015-03-09 |
| 1669875498 | Richard Kreutzer | Family Medicine | 7100 Homewood Dr, Oakland, CA 94611-1411 | 2014-10-07 |
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| 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.