Healthcare Provider Details

I. General information

NPI: 1790600328
Provider Name (Legal Business Name): GILBERTO MARTINEZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 MERCY CT STE 100
FAIR OAKS CA
95628-3154
US

IV. Provider business mailing address

6600 MERCY CT STE 100
FAIR OAKS CA
95628-3154
US

V. Phone/Fax

Practice location:
  • Phone: 916-967-7285
  • Fax: 916-967-7289
Mailing address:
  • Phone: 916-967-7285
  • Fax: 916-967-7289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GILBERTO ALEJANDRO MARTINEZ
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 916-967-7285