Healthcare Provider Details

I. General information

NPI: 1841949013
Provider Name (Legal Business Name): JOSE LEONEL MARTINEZ PEREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 V ST STE 3500
SACRAMENTO CA
95817-1460
US

IV. Provider business mailing address

4150 V ST STE 3500
SACRAMENTO CA
95817-1460
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-2737
  • Fax:
Mailing address:
  • Phone: 916-734-2737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number188411
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: