Ezequiel Martinez Sr. (NPI# 1497822142, PAC ID# 9537115456) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1497822142 |
| PAC ID by PECOS | 9537115456 |
| Professional Enrollment ID | I20050323001385 |
| Full Name | Ezequiel Martinez Sr. |
| Organization Legal Name | BASELINE MEDICAL CLINIC, INC |
| Address |
1598 N D St San Bernardino CA 92405-4710 |
| Phone Number | 9098886602 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1986 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6103906524 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1598 N D St, San Bernardino, CA 92405-4710 | 9098886602 | BASELINE MEDICAL CLINIC, INC |
| Organization Legal Name | BASELINE MEDICAL CLINIC, INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hoang-chuong N Vu | Family Medicine | Baseline Medical Clinic, Inc | 330 N D St, Suite 300, San Bernardino, CA 92401-1522 |
| Vergil Duane Sisson | General Practice | Baseline Medical Clinic, Inc | 330 N D St, San Bernardino, CA 92401-1522 |
| Street Address |
1598 N D ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip | 92405-4710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce David Meyer | General Practice | 1996 N D St, San Bernardino, CA 92405-3912 | |
| Dharmesh S Patel | Physical Therapy | 2100 N Arrowhead Ave, San Bernardino, CA 92405-4002 | |
| Sunil Arora | Internal Medicine | 1998 N Arrowhead Ave, San Bernardino, CA 92405-4116 | |
| Ping Yang | Nurse Practitioner | Primary Care Medical Group of Inland Empire Inc | 1998 N Arrowhead Ave, San Bernardino, CA 92405-4116 |
| Philis Ransom | Obstetrics/gynecology | San Marcos Medical Group Inc | 742 W Highland Ave, San Bernardino, CA 92405-4273 |
| Kevin Oreilly | Podiatry | 1556 N D St, San Bernardino, CA 92405-4710 |
| City | SAN BERNARDINO |
| Zip Code | 92405 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAN BERNARDINO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Ezequiel Martinez Sr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.