Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Erik Jason Martinez

Individual provider Dermatology Physician · NPI 1225531551

Erik Jason Martinez is a Nurse Practitioner in Glendale, Arizona. Qualified in 2018, 8 years ago. Practices with Omni Dermatology Incorporated, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
Specialties on file
2

Practice location Address checks out

11851 N 51st Ave Ste E130
Glendale, AZ 85304-2843
Phone: (623) 703-4718
Fax: (623) 703-4718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP11628 (AZ)
Dermatology Physician Taxonomy 207N00000X · Licence AP11628 (AZ)

Record details

NPI number1225531551
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 13, 2018
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Omni Dermatology Incorporated — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glendale