JOSE L MARTINEZ PA-C
NPI 1679736904
Physician Assistant - Surgical in Fresno, CA

Q: What is Jose Martinez's NPI number?

The NPI number for Jose Martinez is 1679736904. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Q: What is Jose Martinez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jose Martinez was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment

2823 FRESNO ST, FRESNO, CA 93721(559) 459-3770(559) 459-3719 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jose L Martinez Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE L MARTINEZ PA-C (NPI 1679736904) is an individual surgical provider in Fresno, California, licensed in California (PA19652) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1679736904

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameJOSE L MARTINEZCredential: PA-C

Location Address2823 FRESNO STFresno, CA 93721-1324

Mailing Address4910 E Clinton Way, Suite 101Fresno, CA 93727-1560 · (559) 443-2682 · Fax (559) 443-2681

Phone(559) 459-3770

Fax(559) 459-3719

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 7, 2008

Last NPPES UpdateDecember 5, 2011

✔ NPI 1679736904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA19652

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA19652 (CA)

2823 FRESNO ST, Fresno, CA 93721

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose L Martinez Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698804615

PECOS Enrollment IDI20100528000468

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE LEA STORKAN M.D.

Emergency Medicine