Healthcare Provider Details

I. General information

NPI: 1366963738
Provider Name (Legal Business Name): JUAN CARLOS MARTINEZ II DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2017
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 W 7TH ST
HANFORD CA
93230-4926
US

IV. Provider business mailing address

1065 BUCKS LAKE RD
QUINCY CA
95971-9599
US

V. Phone/Fax

Practice location:
  • Phone: 559-584-5196
  • Fax: 559-584-9807
Mailing address:
  • Phone: 530-283-2121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE5643
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: