ELLIOTT O MARTINEZ


Address: State Road 108 Bldg 3005, Dewert Branch Health Clinic, Bridgeport, CA 93517-7777
Phone: 7609321616

ELLIOTT O MARTINEZ (NPI# 1871786335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871786335
Entity Type Individual
Full Name ELLIOTT O MARTINEZ
Credential IDC
Practice Address State Road 108 Bldg 3005
Dewert Branch Health Clinic
Bridgeport
CA 93517-7777
Mailing Address S.r. 108 Bldg 3005
Bridgeport
CA 93517
Practice Telephone 7609321616
Practice Fax Number 7609321623
Mailing Telephone 7609321616
Mailing Fax Number 7609321623
Enumeration Date 2007-08-19
Last Update Date 2015-10-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address STATE ROAD 108 BLDG 3005
DEWERT BRANCH HEALTH CLINIC
City BRIDGEPORT
State CA
Zip Code 93517-7777

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861785651 Greg Urick Military Health Care Provider Sr 108 Bldg 3005, Dewert Branch Medical Clinic, Bridgeport, CA 93517 2011-05-26
1093023681 Robert Joseph Scherl Physician Assistant Bldg #3005 S.r. 108, Naval Hospital Branch Clinic, Bridgeport, Bridgeport, CA 93517 2010-09-17
1649416835 Duane E Postler Military Health Care Provider Bldg 3005 Sr 108, Bridgeport, CA 93517 2008-12-18
1730339763 Toby Natividad Hernandez Military Health Care Provider Mwtc Bldg 3005 State Route 108, Attn: Medical, Bridgeport, CA 93517 2008-09-26
1083817597 Branch Medical Clinic Bridgeport Clinic/Center Mwtc Bldg 3005, Bridgeport, CA 93517 2007-06-11
1730205949 County of Mono Ambulance 199 Twin Lakes Road, Bridgeport, CA 93517 2007-03-21
1720134372 Tommy Savedra Physician Assistant 221 Twin Lakes Rd, Bridgeport, CA 93517 2007-01-26
1043383508 Susan Flanigan Bates Nurse Practitioner Mcmwtc Bldg 3005, Hc 83 Box 1, Bridgeport, CA 93517 2006-11-15
1003885427 Ryan Stephen Hildebrand Military Health Care Provider Bldg 3005, S R 108, Bridgeport, CA 93517 2006-03-16
1497735435 Chris Joas General Practice Bldg 3005, Sr 108, Dewert Branch Health Clinic, Mcmwtc, Bridgeport, CA 93517 2006-01-17
Find all providers in zip 93517

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861785651 Greg Urick Military Health Care Provider Sr 108 Bldg 3005, Dewert Branch Medical Clinic, Bridgeport, CA 93517 2011-05-26
1649416835 Duane E Postler Military Health Care Provider Bldg 3005 Sr 108, Bridgeport, CA 93517 2008-12-18
1730339763 Toby Natividad Hernandez Military Health Care Provider Mwtc Bldg 3005 State Route 108, Attn: Medical, Bridgeport, CA 93517 2008-09-26
1477594646 Michael Dale Richardson Military Health Care Provider Hc-83 Bldg 3005, Naval Hospital Branch Clinic Mcmwtc, Bridgeport, CA 93517-0001 2006-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316547227 Landri Acosta Military Health Care Provider 5075 Tranquil Way # 102, Oceanside, CA 92057-7870 2020-10-29
1649879537 David Michael Soliani Military Health Care Provider Bld 4101 Stuart Mesa Road, Camp Pendleton, CA 92055-5584 2020-10-21
1801494182 Luis Alberto Necoechea Military Health Care Provider 1st Recon Bn Bas, Oceanside, CA 92055 2020-10-09
1770180648 Darius Lee Sean Woods Military Health Care Provider 6033 Sandy Shore Ct, San Diego, CA 92139-1014 2020-10-05
1174130744 Daniel Carrera Military Health Care Provider 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 2020-09-28
1316551740 Kyle Bode Francis Military Health Care Provider 3149 Murray Ridge Rd, San Diego, CA 92123-2917 2020-09-02
1356955918 Daniel Carr Military Health Care Provider 5423 Lake Murray Blvd Apt 7, La Mesa, CA 91942-1551 2020-09-01
1255945069 Jeremy Lee Military Health Care Provider 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 2020-08-31
1639782899 Tyler Collin Sparks Military Health Care Provider 1 Mrb, Camp Pendletion, CA 92055 2020-08-27
1013520667 Rashaad Brown Military Health Care Provider 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 2020-08-24
Find all providers with the same taxonomy

Competitor

Search similar providers

City BRIDGEPORT
Zip Code 93517

Improve Information

Please comment or provide details below to improve the information on ELLIOTT O MARTINEZ.

Dataset Information

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.

Trending Searches