MIGUEL ANGEL MARTINEZ (NPI# 1033472741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033472741 |
| Entity Type | Individual |
| Full Name | MIGUEL ANGEL MARTINEZ |
| Credential | MD |
| Practice Address |
17051 Sierra Lakes Pkwy Ste 101 Fontana CA 92336-1274 |
| Mailing Address |
3400 Data Dr Attn Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
| Practice Telephone | 9098644700 |
| Practice Fax Number | 9094282191 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A128522 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568081792 | Miguel A Martinez | Dental Hygienist | 3308 Greenock St, El Paso, TX 79925-4100 | 2020-04-08 |
| 1962941765 | Miguel Martinez | Pharmacist | 15206 Sw 21st Ln, Miami, FL 33185-5705 | 2017-02-14 |
| 1073057493 | Miguel Martinez | Specialist/Technologist | 5680 E Homecoming Cir, Unit C, Eastvale, CA 91752-4258 | 2016-12-05 |
| 1962810226 | Miguel A Martinez | Counselor | 4151 Verdant St, Los Angeles, CA 90039-1366 | 2014-07-30 |
| 1720312143 | Miguel Angel Martinez | Dental Assistant | 18355 Stallion Ln, 18355 Stallion Ln, Bloomington, CA 92316-3142 | 2009-10-01 |
| 1043408271 | Miguel Angel Martinez | Dentist | 4500 Nw 7th Ave, Miami, FL 33127-2506 | 2007-10-12 |
| 1013091586 | Miguel Juan Martinez Jr. | Allergy & Immunology | 16675 Huebner Rd Ste 201, San Antonio, TX 78248-2345 | 2006-10-24 |
| 1962514448 | Miguel Martinez | Dentist | 505 N. Piedras Street, Attn Ms Laura Porter, El Paso, TX 79920-5001 | 2006-08-31 |
| 1083603302 | Miguel Agustin Martinez IIi | General Practice | 5182 Curry Ford Rd, Orlando, FL 32812-8792 | 2005-10-19 |
| 1750912242 | Miguel Martinez | Social Worker | 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 | 2020-02-03 |
| Street Address |
17051 SIERRA LAKES PKWY STE 101 |
| City | FONTANA |
| State | CA |
| Zip Code | 92336-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104939172 | Swapna S. Kudtarkar | Pediatrics | 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 | 2006-08-16 |
| 1780226852 | Dignity Health Medical Foundation | Clinic/Center | 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 | 2019-10-10 |
| 1578082939 | Karla Anais Taborga | Nurse Practitioner | 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 | 2017-09-15 |
| 1265886196 | Felipe Orlando Camero Amortegui | Pediatrics | 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 | 2016-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| 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 |
|---|---|---|---|---|
| 1396391454 | Veronica Janell Bolanos | Family Medicine | 7133 Windermere Dr, Fontana, CA 92336-0893 | 2019-08-14 |
| 1346766839 | Angela Adaku Chijioke | Family Medicine | 14181 Redondo Ct, Fontana, CA 92336-3614 | 2017-08-17 |
| 1992182745 | Mary Perry | Family Medicine | 17264 Foothill Blvd Ste A, Fontana, CA 92335 | 2015-04-30 |
| 1720475478 | Guillermo Saenz Zavala | Family Medicine | 17234 Valley Blvd, Fontana, CA 92335 | 2015-04-21 |
| 1932383148 | Inland Healthcare Group | Family Medicine | 17171 Foothill Blvd., Suite E, Fontana, CA 92335 | 2007-12-24 |
| 1235318445 | Inland Healthcare Group | Family Medicine | 7430 Cherry Ave Ste 110, Fontana, CA 92336-4255 | 2007-10-24 |
| 1568585024 | R S Bir Md Inc | Family Medicine | 9792 Sierra Ave, Fontana, CA 92335-6717 | 2007-04-09 |
| 1720123094 | Muhammad Yaqub | Family Medicine | 13677 Foothill Blvd, Suite Q, Fontana, CA 92335-0505 | 2007-02-21 |
| 1982786620 | Compre Hensive Primary Care Medical Associates, Inc | Family Medicine | 7798 Cherry Ave, Fontana, CA 92336-4014 | 2006-10-20 |
| 1215022918 | Californi Medical Clinic Inc | Family Medicine | 16701 Valley Blvd, Fontana, CA 92335-6696 | 2006-10-04 |
| Find all providers in FONTANA | ||||
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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.